Individual
CASEY DIANNE KINSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3169 S BOWN WAY, BOISE, ID 83706-5400
(208) 433-9152
(208) 344-4752
Mailing address
3169 S BOWN WAY, BOISE, ID 83706-5400
(208) 433-9152
(208) 344-4752
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP2392
ID
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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