Individual
KELLY MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN OCN
Contact information
Practice address
100 E IDAHO ST, BOISE, ID 83712-6223
(208) 381-2790
Mailing address
100 E IDAHO ST, BOISE, ID 83712-6223
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
77774
ID
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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