Kaili Michelle Smalley

NPI #1104422336 in Star, Idaho

Provider Information

NPI Number: 1104422336
Entity Type: Individual
Name: Kaili Michelle Smalley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 11, 2020
Last Updated: Dec 11, 2020

Practice Location

Address: 12222 W BRIDGER BAY DR
City: Star
State: Idaho
ZIP Code: 83669-5081
Phone: (208) 391-2773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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Organizations

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