Individual
MS. KEBAI DAWN BILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1777 E. CLARK SUITE # 210, POCATELLO, ID 83201
(208) 233-5433
(877) 284-2783
Mailing address
1777 E. CLARK, SUITE # 210, POCATELLO, ID 83201
(208) 233-5433
(877) 284-2783
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
520
ID
363AM0700X
Medical Physician Assistant
PA520
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 520
PHYSICIAN ASSISTANT LICEN
ID
Enumeration date
03/29/2006
Last updated
03/07/2023
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