Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY HAASE, ND
ActiveNaturopath · MOSCOW, ID
Registration Details
- NPI Number
- 1407574890
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2022 (3.7043184708744 yrs)
- Last Updated
- Aug 22, 2022
- Licenses
-
22-1715 (AZ)NMD-0048 (ID)
Practice Information
- Address
-
325 W PALOUSE RIVER DRMOSCOW, ID, 838438956Browse ID providers · Browse ZIP 83843
- Phone
- 2085961105
- Primary Specialty
-
Naturopath
175F00000X
- Additional Specialty
- Naturopath
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.