Search › Idaho › 2084N0400X
Kelly Block, DO
NPI 1740786631 · on the registry since 2018
Practice
- Address
- 1072 N Liberty St Ste 303
Boise, ID 83704 - Phone
- (208) 302-4200
- Fax
- (208) 302-4255
- Organisation at this address
- Bryan J Anderson Md Pc
Shauna T Williams Md Pa
Treasure Valley Colon & Rectal Clinic PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 81
Additional practice sites
- 3181 Sw Sam Jackson Park Rd, Portland, OR
Registry record
- Primary taxonomy
- 2084N0400X
2084N0400X
- Also registered as
- 2084N0400X
390200000X - Licence states on file
- OR, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-30
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