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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KACEY BLEA

Active

KACEY BLEA is a Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1205561727 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BOISE, ID

Registration Details

NPI Number
1205561727
Provider Type
Individual
Gender
Female
NPI Issued
Jul 19, 2022 (4.0686663394815 yrs)
Last Updated
Jan 17, 2024
Licenses
1214536 (ID)
PA-2652 (ID)

Practice Information

Address
100 E IDAHO ST
BOISE, ID, 837126267
Browse ID providers · Browse ZIP 83712
Phone
2083814171
Fax
2083814172
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

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.