Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY JO VINCENT, PA-C
ActiveKELLY JO VINCENT, PA-C is a Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1194190637 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BOISE, ID
Registration Details
- NPI Number
- 1194190637
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 9, 2015 (10.695829720335 yrs)
- Last Updated
- Apr 19, 2023
- License
-
PA-1332 (ID)
Practice Information
- Address
-
8854 W EMERALD STSUITE #102BOISE, ID, 837044844Browse ID providers · Browse ZIP 83704
- Phone
- 2083234747
- Fax
- 2083234848
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MS. YELENA SHUEY | PA-C | 1124029939 |
| JEFFREY D SMITH | PA C | 1013905793 |
| CHADWICK ALDEN FISHER | PA | 1497744338 |
| RACHEL KING | PA | 1205826245 |
| DARRELL L KING | PA | 1770573644 |
| THOMAS F DOUTHIT | PA-C | 1023008414 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.