Katherine Skelly, P.A.

NPI #1972906824 in Boise, Idaho

Provider Information

NPI Number: 1972906824
Entity Type: Individual
Name: Katherine Skelly, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Oct 7, 2014
Last Updated: Oct 14, 2014

Practice Location

Address: 413 N ALLUMBAUGH ST
Address 2: SUITE 101
City: Boise
State: Idaho
ZIP Code: 83704-9212
Phone: (208) 323-1125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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