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Katelyn Wade, PA, RD
NPI 1780178814 · on the registry since 2018
Practice
- Address
- 1906 S Vista Ave
Boise, ID 83705 - Phone
- (208) 433-1114
- Organisation at this address
- Idaho Skin Surgery Center, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Registered Dietitian
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-07
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