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503 Broadway Ave S, Suite A, Buhl, ID 83316-1312 | |
(208) 944-9008 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 503 Broadway Ave S, Buhl, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1700163839 | NPI | - | NPPES |
Provider Name | Nicholas J Kelsey |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013116383 PECOS PAC ID: 3274626577 Enrollment ID: I20070831000400 |
Mailing Address | Practice Location Address |
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928 Trotter Dr., Twin Falls, ID 83301 Ph: () - | 503 Broadway Ave S, Suite A, Buhl, ID 83316-1312 Ph: (208) 944-9008 |