Katherine Skelly, P.A.
Physician Assistant in Boise, ID. Individual provider (NPI-1).
NPI number1972906824
StatusActive
Last updated in NPPESOct 14, 2014
Details
- NPI
- 1972906824
- Entity type
- Individual (NPI-1)
- Name
- Katherine Skelly
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2014
- Last updated
- Oct 14, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | GPA-057 | ID | Yes |
Practice location
413 N Allumbaugh StSuite 101
Boise, ID 83704-9212
Phone 208-323-1125 · Fax 208-323-9604
Mailing address
413 N Allumbaugh StSuite 101
Boise, ID 83704-9212
Phone 208-323-1125 · Fax 208-323-9604
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