Individual
DR. KATHLEEN MCKAY TRAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1529 S TIMESQUARE LN, BOISE, ID 83709-8266
(208) 314-1901
Mailing address
1529 S TIMESQUARE LN, BOISE, ID 83709-8266
(208) 314-1901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
60106324
WA
1223G0001X
General Practice Dentistry
Primary
D-5610
ID
Other
Enumeration date
09/23/2009
Last updated
02/27/2025
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