Kellie Boisse, IDMT
NPI #1881828812 in Nellis Afb, Nevada
Provider Information
- NPI Number
- 1881828812
- Entity Type
- Individual
- Name
- Kellie Boisse, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- May 5, 2009
- Last Updated
- May 5, 2009
Practice Location
- Address
- 4700 LAS VEGAS BLVD N
- City
- Nellis Afb
- State
- Nevada
- ZIP Code
- 89191-6600
- Phone
- (702) 653-2766
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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