KELLY BEACH, PA

PA

Physician Assistant

NPI: 1649668765Individual

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA-1208(ID)

Contact & Hours

Address: 300 W MYRTLE ST, SUITE 100
BOISE, ID 83702
Phone: (208) 472-9082

Quick Facts

NPI: 1649668765
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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