Individual
KARLI DEE CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
999 N CURTIS RD STE 415, BOISE, ID 83706-1334
(208) 302-2600
(208) 302-2625
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
PACA-3519
ID
363A00000X
Physician Assistant
Primary
PA-2566
ID
Other
Enumeration date
08/07/2023
Last updated
09/14/2023
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