Individual
KEELIE MARIE NOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13162 W PERSIMMON LN, BOISE, ID 83713-1986
(208) 908-7081
Mailing address
756 S LANDORE AVE, KUNA, ID 83634-5062
(208) 908-7081
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
8371268
ID
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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