Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY ANNE HEUSINKVELD, PA-C
Active Sole ProprietorKELLY ANNE HEUSINKVELD, PA-C is a Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1922505205 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BOISE, ID
Registration Details
- NPI Number
- 1922505205
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 12, 2018 (8.3170620212888 yrs)
- Last Updated
- May 1, 2019
- License
-
PA-1652 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10583 W LAKE HAZEL RDBOISE, ID, 83709Browse ID providers · Browse ZIP 83709
- Phone
- 2083025950
- Fax
- 2083025955
- 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.