Search › Idaho › 363LF0000X
Kelleen Fakenbridge, NP
NPI 1710197264 · on the registry since 2007
Practice
- Address
- 8324 W Northview St
Suite 100
Boise, ID 83704 - Phone
- (208) 376-8337
- Fax
- (208) 376-8344
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-06-28
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