Individual
AMBER MICHELE KIRTLEY-PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6140 W CURTISIAN AVE, STE 200, BOISE, ID 83704
(208) 302-0000
(208) 302-0055
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642
(208) 302-0000
(208) 302-0055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1384
ID
Other
Enumeration date
08/01/2016
Last updated
11/15/2016
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