Individual
DR. KELLY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
3923 S 10TH AVE, CALDWELL, ID 83605-6762
(208) 455-7757
Mailing address
3923 S 10TH AVE, CALDWELL, ID 83605-6762
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
V-4854
ID
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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