Organization
NS NORTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM B. KELLER DDS (OWNER)
(208) 461-3070
Entity
Organization
Contact information
Practice address
16548 N FRANKLIN RD, NAMPA, ID 83687-8212
(208) 461-3070
Mailing address
624 3RD ST S, NAMPA, ID 83651-3840
(208) 586-3333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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