Search › Idaho › 183500000X
Jacqulyn Kelly, RPH
NPI 1992086045 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2504 E Bergeson St
Boise, ID 83706 - Phone
- (208) 343-3831
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-09-02
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