Kelli M Pease, PA

NPI #1023443421 in Boise, Idaho

Provider Information

NPI Number: 1023443421
Entity Type: Individual
Name: Kelli M Pease, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 5, 2013
Last Updated: Jul 11, 2022

Practice Location

Address: 500 W FORT ST
Address 2: # 111
City: Boise
State: Idaho
ZIP Code: 83702
Phone: (208) 422-1326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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