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1255866026
KELLY PENNINGS
BOISE, ID
NPI
1255866026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID MRO-1636)
Enumeration Date
2017-04-28
Last Update Date
2020-06-25
Business Address
KELLY PENNINGS DO
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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Mailing Address
KELLY PENNINGS DO
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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