Individual
KYLEE J GRAEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
520 S EAGLE RD STE 1234, MERIDIAN, ID 83642-6355
(208) 429-0300
(208) 429-0305
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1533
ID
Other
Enumeration date
10/02/2017
Last updated
11/15/2023
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