Individual
CHELSY LAYNE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
205 N BERKLEY ST, COUNCIL, ID 83612-5015
(208) 253-4242
(208) 253-6849
Mailing address
PO BOX 428, COUNCIL, ID 83612-0428
(208) 253-4242
(208) 253-6849
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2268
ID
Other
Enumeration date
12/04/2013
Last updated
09/28/2022
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