# NS DOWNTOWN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669661427
- **Authorized official:** DR. KIM KELLER DDS (OWNER)
- **Authorized official phone:** (208) 466-2456

## Contact information

- **Practice address:** 607 2ND ST S, NAMPA, ID 83651-3837
- **Practice address phone:** (208) 466-2456
- **Practice address fax:** (208) 318-0227
- **Mailing address:** 607 2ND ST S, NAMPA, ID 83651-3837
- **Mailing address phone:** (208) 466-2456
- **Mailing address fax:** (208) 466-2456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D3065 | ID | Yes |
| 261QD0000X | Dental Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 10/17/2007
- **Last updated:** 03/10/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001422900 | — | ID |