Kelsey Sandoval, PA-C

NPI #1407314552 in Meridian, Idaho

Provider Information

NPI Number: 1407314552
Entity Type: Individual
Name: Kelsey Sandoval, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 7, 2019
Last Updated: Nov 28, 2022

Practice Location

Address: 3025 W CHERRY LN STE A
City: Meridian
State: Idaho
ZIP Code: 83642-8531
Phone: (208) 302-6450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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