Meacham, Kelly
Meacham, Kelly is an sole proprietor health care provider with primary practice located at 3389 Merlin Dr , Idaho Falls ID 83404-7405. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Meacham, Kelly can be contacted via phone (208) 552-9831.Contact Information
Primary practice address
3389 Merlin Dr
Idaho Falls ID 83404-7405
Phone: (208) 552-9831
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-1290 | Idaho |
Profile Details
| NPI number | 1023489085 |
|---|---|
| LBN Legal business name | Meacham, Kelly |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2015 |
| Last updated | Oct 15th, 2015 - about 11 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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