Individual
KELLEE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
5513 N GLENWOOD ST STE B, BOISE, ID 83714-1332
(208) 375-6600
Mailing address
5513 N GLENWOOD ST STE B, BOISE, ID 83714-1332
(208) 375-6600
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA-3190
ID
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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