KEELY CARDWELL

BOISE, ID
NPI1477088201
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  55952)
Additional Taxonomies163W00000X Registered Nurse
(Licence: ID  40228)
163W00000X Registered Nurse
(Licence: KS  14-126679-032)
Enumeration Date2017-04-30
Last Update Date2017-10-04
Business Address
KEELY CARDWELL DNAP
338 E BANNOCK ST
BOISE, ID 83712-6207
Phone number: 208-336-0895
Mailing Address
KEELY CARDWELL DNAP
781 N SHADOWRIDGE AVE
EAGLE, ID 83616
Phone number: 816-529-2518