Search › Idaho › 163WL0100X
Kaely Thompson, RN, IBCLC
NPI 1982211579 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4389 W Agave St
Eagle, ID 83616 - Phone
- (208) 670-8704
Registry record
- Primary taxonomy
- 163WL0100X
163WL0100X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-28
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