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Individual

PAYDEN BRIKEL KELL-ONDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1140 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647-2821
(208) 580-5431
Mailing address
8409 CUTLASS CT, MOUNTAIN HOME AFB, ID 83648-5015
(817) 781-0408

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/04/2025
Last updated
10/21/2025
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