Individual
CHELSEY R KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
444 W FORT ST FL 2, BOISE, ID 83702-4535
(208) 422-1018
Mailing address
444 W FORT ST FL 2, BOISE, ID 83702-4535
(208) 422-1018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01345
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200636660B
—
KS
Enumeration date
01/29/2010
Last updated
08/18/2023
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