Search › Idaho › 363A00000X
Kellee Crockett, PA-C
NPI 1952441305 · on the registry since 2007
Practice
- Address
- 1032 S Bridgway Pl
Suite 100
Eagle, ID 83616 - Phone
- (208) 246-0123
- Fax
- (208) 246-0125
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
- 2007-07-08
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