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Individual

HALEY KEELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
207 W WASHINGTON ST, BOISE, ID 83702-5941
(208) 343-2079
Mailing address
207 W WASHINGTON ST, BOISE, ID 83702-5941
(208) 343-2079
(208) 343-6828

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-148
ID

Other

Enumeration date
07/19/2022
Last updated
07/22/2025
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