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Individual

DR. NATHAN ROSS KELSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-1500
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101250278
VA
2085R0202X
Diagnostic Radiology Physician
Primary
M-14787
ID

Other

Enumeration date
05/20/2010
Last updated
05/17/2022
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