Organization
BOISE VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN BRUCE KELLEY OTR/L (OCCUPATIONAL THERAPIST)
(208) 422-1338
Entity
Organization
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1338
Mailing address
801 W SANDSTONE LN, BOISE, ID 83702-6543
(208) 338-5597
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
OT 147
ID
Other
Enumeration date
09/06/2006
Last updated
06/16/2008
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