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Kelley White

NPI 1376999086 · on the registry since 2016 · sole proprietor

Practice

Address
445 N Johnson Ave
Pocatello, ID 83204
Phone
(208) 251-3528

Registry record

Primary taxonomy
246ZS0410X
246ZS0410X
Sex
Female
Record last updated
2016-05-13

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