Search › Idaho › 231H00000X
Keeley Coffee, AUD
NPI 1194568824 · on the registry since 2024 · sole proprietor
Practice
- Address
- 625 Pole Line Rd W Ste 2b
Twin Falls, ID 83301 - Phone
- (208) 814-7350
- Fax
- (208) 732-8508
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 231H00000X
231H00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-23
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