KELSY REID HACKER

BOISE, ID
NPI1447966213
Former NameKELSY REID PATRICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2449)
Enumeration Date2023-01-25
Last Update Date2025-01-28
Business Address
KELSY REID HACKER PA-C
1072 N LIBERTY ST STE 201
BOISE, ID 83704-8708
Phone number: 208-302-2400
Mailing Address
KELSY REID HACKER PA-C
3340 E GOLDSTONE DR
MERIDIAN, ID 83642-1026
Phone number: 208-367-5170
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