Organization
ROCKY MOUNTAIN WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLEE DEE JOHNSON APRN, CNM, WHNP (OWNER/PROVIDER)
(208) 973-1162
Entity
Organization
Contact information
Practice address
2065 E 17TH ST STE A, IDAHO FALLS, ID 83404-8042
(208) 497-0541
(208) 497-0873
Mailing address
2065 E 17TH ST STE A, IDAHO FALLS, ID 83404-8042
(208) 497-0541
(208) 497-0873
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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