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Individual

KATHERINE SKELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
413 N ALLUMBAUGH ST, SUITE 101, BOISE, ID 83704-9212
(208) 323-1125
(208) 323-9604
Mailing address
413 N ALLUMBAUGH ST, SUITE 101, BOISE, ID 83704-9212
(208) 323-1125
(208) 323-9604

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
GPA-057
ID

Other

Enumeration date
10/07/2014
Last updated
10/14/2014
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