SearchIdaho385HR2060X

Kollette Maxwell

NPI 1154256519 · on the registry since 2026 · sole proprietor

Practice

Address
5450 W Dalcross Dr
Boise, ID 83714
Phone
(775) 304-2371
Fax
(775) 304-2371

Registry record

Primary taxonomy
385HR2060X
385HR2060X
Also registered as
3747P1801X
Sex
Female
Record last updated
2026-06-16

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