Individual
KELLSON PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
314 S RIVER ST STE 304, HAILEY, ID 83333-8851
(208) 450-5645
Mailing address
PO BOX 533, KETCHUM, ID 83340-0481
(208) 450-5645
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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