Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELSEY SANDOVAL, PA-C
Active Sole ProprietorKELSEY SANDOVAL, PA-C is a Physician Assistant healthcare provider located in MERIDIAN, Idaho. NPI 1407314552 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MERIDIAN, ID
Registration Details
- NPI Number
- 1407314552
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2019 (7.4601622520783 yrs)
- Last Updated
- Nov 28, 2022
- Licenses
-
56457 (CA)PA-2375 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3025 W CHERRY LN STE AMERIDIAN, ID, 836428531Browse ID providers · Browse ZIP 83642
- Phone
- 2083026450
- Fax
- 2083026455
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| ALBERT DONALD BICKFORD | PA-C | 1124092101 |
| ARLENE C HARTLEY | PA-C | 1194792473 |
| BRANDIE DAWN COLLINS | PA | 1124077151 |
| KATHLEEN ROSE NIELSEN | PA | 1336196757 |
| BRADLEY D MULKEY | PA | 1487691176 |
| MR. STEPHEN J FRELLY | PA | 1114966959 |
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.