Gomez, Kelley Eileen

Gomez, Kelley Eileen is an individual health care provider with primary practice located at 500 W Fort St , Boise ID 83702-4501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gomez, Kelley Eileen can be contacted via phone (508) 864-0937.

Contact Information

Primary practice address
500 W Fort St Boise ID 83702-4501
Phone: (508) 864-0937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 101.0119709 Vermont

Profile Details

NPI number 1780037184
LBN Legal business name Gomez, Kelley Eileen
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2016
Last updated Dec 11th, 2018 - about 8 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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