Individual
KELSEY JANEL WERTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3301 N SAWGRASS WAY, BOISE, ID 83704-4493
(208) 375-0862
(208) 375-2658
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-13116
ID
207Q00000X
Family Medicine Physician
MRM-1403
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659782829
—
ID
Enumeration date
05/09/2014
Last updated
04/08/2026
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