Individual
DR. KELSEY KIRSTEN RAHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2360 THAIN GRADE, LEWISTON, ID 83501-4115
(208) 717-1966
Mailing address
163 CAREY TRL, WOOD DALE, IL 60191-2061
(630) 303-4027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5638
ID
Other
Enumeration date
05/20/2024
Last updated
06/11/2024
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