Individual
KAYSEA LEE STUDIOSO-HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
712 AVIATION WAY, CALDWELL, ID 83605-1154
(208) 302-7100
(208) 302-7189
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3971154
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/12/2022
Last updated
10/02/2025
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