Block, Kelly Lauren
Block, Kelly Lauren is an individual health care provider with primary practice located at 1072 N Liberty St Ste 303 , Boise ID 83704-8708. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Block, Kelly Lauren can be contacted via phone (208) 302-4200.Contact Information
Primary practice address
1072 N Liberty St Ste 303
Boise ID 83704-8708
Phone: (208) 302-4200
Fax: (208) 302-4255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | DO209500 | Oregon |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | O-1968 | Idaho |
Profile Details
| NPI number | 1740786631 |
|---|---|
| LBN Legal business name | Block, Kelly Lauren |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2018 |
| Last updated | May 30th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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