Individual
KELLY SIUDZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2273 E GALA ST, SUITE 110, MERIDIAN, ID 83642-7289
(208) 994-5700
(208) 994-5700
Mailing address
2273 E GALA ST, SUITE 110, MERIDIAN, ID 83642-7289
(208) 994-5700
(208) 994-5700
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M-9339
ID
Other
Enumeration date
05/08/2006
Last updated
03/13/2013
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