Individual
KELLY BYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 CEDAR ST, BOVILL, ID 83806-0109
(208) 826-1219
Mailing address
PO BOX 646, BOVILL, ID 83806-0646
(208) 826-1219
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
A0001936
ID
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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