KELLEEN LOUISE FAKENBRIDGE

BOISE, ID
NPI1710197264
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP732)
Enumeration Date2007-05-23
Last Update Date2012-06-28
Business Address
Ms. KELLEEN LOUISE FAKENBRIDGE NP
8324 W NORTHVIEW ST SUITE 100
BOISE, ID 83704-7184
Phone number: 208-376-8337
Mailing Address
Ms. KELLEEN LOUISE FAKENBRIDGE NP
8324 W NORTHVIEW ST SUITE 101
BOISE, ID 83704-7184
Phone number: 208-376-8337
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