KELLY KRAUSE

BOISE, ID
NPI1639642051
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2022)
Additional Taxonomies363A00000X Physician Assistant
(Licence: ID  PAT-1634)
Enumeration Date2019-01-08
Last Update Date2023-12-15
Business Address
KELLY KRAUSE PA-S
6565 W EMERALD ST
BOISE, ID 83704-8737
Phone number: 208-514-2510
Mailing Address
KELLY KRAUSE PA-S
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500