Kelsy Hacker, PA-C

NPI 1447966213 · on the registry since 2023 · sole proprietor

Practice

Address: 1072 N Liberty St Ste 201
Boise, ID 83704
Phone: (208) 302-2400
Fax: (208) 302-2455
Organisation at this address: Bryan J Anderson Md Pc
Shauna T Williams Md Pa
Treasure Valley Colon & Rectal Clinic Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 81

Additional practice sites

3063 S Canonero Way, Boise, ID

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-01-28

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