Kelly Paris Nellesen

NPI 1144346578 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1144346578
Gender Female
Enumeration Date 03/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
EAGLE ID, 83616-4512, US
Phone (208) 939-2189
Business Location
1222 W 1ST ST
MERIDIAN ID, 83642-2204, US
Phone (208) 887-1391
Taxonomy Code 2255A2300X
License State Idaho
License Number AT-207
Remove 1144346578 NPI Number

According to our database, Mrs. Kelly Paris Nellesen NPI is 1144346578, taxonomy code is 2255A2300X and license number is AT-207, license state is located at Idaho. Kelly Paris Nellesen physically located at 574 Park Ln, Eagle ID, 83616-4512. NPI Number Kelly Paris Nellesen has the Individual type.

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1144346578 NPI number is provided on an as is basis without warranty of any kind. 1144346578 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Paris Nellesen are for informational purposes only.