Organization
KELLS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY THAIR KELLS B.S., M.A., L.P.C. (PRESIDENT/CEO)
(208) 928-7181
Entity
Organization
Contact information
Practice address
400 S. MAIN STREET, HAILEY, ID 83340
(208) 928-7181
Mailing address
P.O. BOX 4680, KETCHUM, ID 83340
(208) 928-7181
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
102L00000X
Psychoanalyst
Primary
LPC-3954
ID
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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