Individual
KELSEY FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2535 E FAIRVIEW AVE, MERIDIAN, ID 83642
(208) 519-4333
(208) 205-9134
Mailing address
2535 E FAIRVIEW AVE, MERIDIAN, ID 83642-7319
(208) 519-4333
(208) 205-9134
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DO188724
OR
Other
Enumeration date
04/25/2017
Last updated
02/21/2024
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