MR. Kelly Meacham, PA-C
NPI #1023489085 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1023489085
- Entity Type
- Individual
- Name
- MR. Kelly Meacham, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 15, 2015
- Last Updated
- Oct 15, 2015
Practice Location
- Address
- 3389 MERLIN DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7405
- Phone
- (208) 552-9831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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