NPI 1992549331

Kylie Peets

Practitioner Physician Assistant Salmon, ID

Practice location

Address: 805 Main St, Salmon, ID 83467-4316
Phone: (208) 756-6212
Mailing address: 21 Withington Creek Rd, Salmon, ID 83467-4905

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1561371 (ID)

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Registry record

NPI: 1992549331
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2024
Record last updated: 29 Sep 2024

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.