NPI 1376999086

Kelley White

Practitioner Surgical Technologist Pocatello, ID

Practice location

Address: 445 N Johnson Ave, Pocatello, ID 83204-3021
Phone: (208) 251-3528

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X

Other Specialist/Technologist, Other providers in Idaho →

Registry record

NPI: 1376999086
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2016
Record last updated: 13 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.