Kelley Wolff is a Physician Assistant in Boise, Idaho. Kelley Wolff practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelley Wolff is 1609963081. The last update date is 2012-08-21.
Kelley Wolff's current location address is 701 E Parkcenter Blvd, Boise, Idaho. You can contact this provider via phone number 2083816400 and fax number 2083816470. The mailing address for Kelley Wolff is 701 E Parkcenter Blvd, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelley Wolff |
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Address | 701 E Parkcenter Blvd, Boise, Idaho |
Phone Number | 2083816400 |
Fax Number | 2083816470 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1609963081 |
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Provider Enumeration Date | 2006-10-06 |
Last Updated Date | 2012-08-21 |
Provider Mailing Address Detail
Address | 701 E Parkcenter Blvd |
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City | Boise |
State | Idaho (ID) |
Post Code | 837067539 |
Phone Number | 2083816400 |
Fax Number | 2083816470 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA639 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Kelley Wolff by the Centers for Medicare & Medicaid Services?
The Kelley Wolff has been issued the NPI (National Provider Identifier) 1609963081 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kelley Wolff's facilities are geographically located?
The facilities of Kelley Wolff are physically situated at the following location: 701 E Parkcenter Blvd, Boise, ID, 837067539.
What is Kelley Wolff's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelley Wolff's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
What is Kelley Wolff's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelley Wolff is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did Kelley Wolff receive its 1609963081 assignment from the Centers for Medicare & Medicaid Services?
The Kelley Wolff was assigned its 1609963081 on 2006-10-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
NPI Number: 1063415297
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