KELLEE J CROCKETT

EAGLE, ID
NPI1952441305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PAC636)
Enumeration Date2007-02-07
Last Update Date2007-07-08
Business Address
-- KELLEE J CROCKETT PA-C
1032 S BRIDGWAY PL SUITE 100
EAGLE, ID 83616
Phone number: 208-246-0123
Mailing Address
-- KELLEE J CROCKETT PA-C
1032 S BRIDGE WAY PL SUITE 100
EAGLE, ID 83616-6099
Phone number: 208-246-0123
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