Search › Idaho › 363A00000X
Kelly Meacham, PA-C
NPI 1023489085 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3389 Merlin Dr
Idaho Falls, ID 83404 - Phone
- (208) 552-9831
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho