KELLEE CROCKETT, PA-C
Physician Assistant
Active
Individual
NPI: 1952441305
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PAC636 (ID) |
Frequently Asked Questions
NPI 1952441305 is the National Provider Identifier for KELLEE CROCKETT, PA-C, a Physician Assistant provider located in Eagle, ID. This NPI was enumerated on February 7, 2007.
KELLEE CROCKETT, PA-C practices at 1032 S BRIDGWAY PL, SUITE 100, Eagle, ID 83616.
Quick Facts
- NPI
- 1952441305
- Type
- Individual
- Enumerated
- Feb 7, 2007
- Last Updated
- Jul 8, 2007
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