Individual
DR. SHELLEY KATHLEEN PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3399 E LOUISE DR STE 400, MERIDIAN, ID 83642-5212
(208) 706-4650
(208) 706-4651
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101052952
VA
208600000X
Surgery Physician
Primary
M-17620
ID
Other
Enumeration date
03/23/2006
Last updated
05/14/2024
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