Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY BEACH, PA
ActiveKELLY BEACH, PA is a Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1649668765 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BOISE, ID
Registration Details
- NPI Number
- 1649668765
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 23, 2014 (11.603218768785 yrs)
- Last Updated
- Jan 8, 2016
- License
-
PA-1208 (ID)
Practice Information
- Address
-
300 W MYRTLE STSUITE 100BOISE, ID, 837027690Browse ID providers · Browse ZIP 83702
- Phone
- 2084729082
- Fax
- 2084729083
- 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.