ERIK KELLY

HAYDEN, ID
NPI1396195269
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-1657A)
Enumeration Date2016-06-21
Last Update Date2016-06-21
Business Address
-- ERIK KELLY NP-C
265 W PRAIRIE SHOPPING CTR
HAYDEN, ID 83835-9855
Phone number: 208-772-7850
Mailing Address
-- ERIK KELLY NP-C
PO BOX 38
HAYDEN, ID 83835-0038
Phone number:
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