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KELLEE CROCKETT, PA-C

PA-C

Physician Assistant

NPI: 1952441305IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PAC636(ID)

CMS Specialties

Education

OTHER

Class of 2006

Contact & Hours

Address
1032 S BRIDGWAY PL, SUITE 100
EAGLE, ID 83616

Quick Facts

NPI
1952441305
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
20

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