Individual
KELLY KANDES-MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3224 N MERIDIAN RD STE 110, MERIDIAN, ID 83646-6232
(208) 395-1090
Mailing address
4578 W FERN VISTA CT, MERIDIAN, ID 83646-1434
(510) 502-2697
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4771790
ID
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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