Individual
DR. KELLY HAASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
325 W PALOUSE RIVER DR, MOSCOW, ID 83843-8956
(208) 596-1105
Mailing address
325 W PALOUSE RIVER DR, MOSCOW, ID 83843-8956
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
22-1715
AZ
175F00000X
Naturopath
Primary
NMD-0048
ID
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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