Individual
QUENTIN JEFFREY KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6302 S SCOTCH WAY, BOISE, ID 83716-7134
(208) 996-9179
Mailing address
6302 S SCOTCH WAY, BOISE, ID 83716-7134
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8181414
ID
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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