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Organization

NS DOWNTOWN PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIM KELLER DDS (OWNER)
(208) 466-2456
Entity
Organization

Contact information

Practice address
607 2ND ST S, NAMPA, ID 83651-3837
(208) 466-2456
(208) 318-0227
Mailing address
607 2ND ST S, NAMPA, ID 83651-3837
(208) 466-2456
(208) 466-2456

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3065
ID
261QD0000X
Dental Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001422900
ID
Enumeration date
10/17/2007
Last updated
03/10/2022
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