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Kelly Beach, PA
NPI 1649668765 · on the registry since 2014
Practice
- Address
- 300 W Myrtle St
Suite 100
Boise, ID 83702 - Phone
- (208) 472-9082
- Fax
- (208) 472-9083
- Organisation at this address
- Alliance Medical Group, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-08
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