Individual
KELSEY DESPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3360 WASHINGTON PKWY STE 2, IDAHO FALLS, ID 83404-8333
(208) 932-7024
Mailing address
6405 S 3000 E STE 201, SALT LAKE CITY, UT 84121-6990
(801) 266-3113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
72917
ID
Other
Enumeration date
11/07/2022
Last updated
02/05/2024
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