Individual
MS. KELLY R WHITEHEAD-PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3025 W. CHERRY LANE, STE B, MERIDIAN, ID 83642-8531
(208) 302-6400
(208) 302-6455
Mailing address
3340 EAST GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-6400
(208) 302-6455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1067A
ID
Other
Enumeration date
08/31/2011
Last updated
12/01/2016
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