KELLY ANNE HEUSINKVELD

BOISE, ID
NPI1922505205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1652)
Enumeration Date2018-04-12
Last Update Date2019-05-01
Business Address
KELLY ANNE HEUSINKVELD PA-C
10583 W LAKE HAZEL RD
BOISE, ID 83709
Phone number: 208-302-5950
Mailing Address
KELLY ANNE HEUSINKVELD PA-C
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642
Phone number: 208-302-5950
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