Kelly Jo Vincent, PA-C

NPI #1194190637 in Boise, Idaho

Provider Information

NPI Number: 1194190637
Entity Type: Individual
Name: Kelly Jo Vincent, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 9, 2015
Last Updated: Apr 19, 2023

Practice Location

Address: 8854 W EMERALD ST
Address 2: SUITE #102
City: Boise
State: Idaho
ZIP Code: 83704-4844
Phone: (208) 323-4747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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