Individual provider · Type 1 NPI

Kaili Michelle Smalley

Student in an Organized Health Care Education/Training Program · Star, ID

NPI number 1104422336 Active

Practice location

12222 W Bridger Bay Dr
Star, ID 83669-5081

Call (208) 391-2773 Map

Mailing address

133 N Robinson Blvd
Nampa, ID 83687-8617

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

9 other providers at this address

About NPI 1104422336

Kaili Michelle Smalley's National Provider Identifier is 1104422336, issued on Dec 11, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Star, ID. The record was last updated on Dec 11, 2020.