CANDICE KETELSEN, PA-C

Physician Assistant

Active Individual
NPI: 1073040515

Practice Address

2500 W A ST STE 101
Moscow, ID 83843

Phone: (208) 882-0540

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA-1496 (ID)

Frequently Asked Questions

NPI 1073040515 is the National Provider Identifier for CANDICE KETELSEN, PA-C, a Physician Assistant provider located in Moscow, ID. This NPI was enumerated on May 15, 2017.
CANDICE KETELSEN, PA-C practices at 2500 W A ST STE 101, Moscow, ID 83843.

Quick Facts

NPI
1073040515
Type
Individual
Enumerated
May 15, 2017
Last Updated
Jan 26, 2026

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