Individual provider · Type 1 NPI

Kelly Jo Vincent, PA-C

Physician Assistant · Boise, ID

NPI number 1194190637 Active

Practice location

8854 W Emerald St, Suite #102
Boise, ID 83704-4844

Call (208) 323-4747 Map

Fax (208) 323-4848

Mailing address

1940 S Bonito Way Ste 190
Meridian, ID 83642-5618

Other practice locations

  • 3399 E Louise Dr Ste 200, Meridian, ID 83642-5212 · (208) 706-2663

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-1332 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194190637

Kelly Jo Vincent, PA-C's National Provider Identifier is 1194190637, issued on Dec 9, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Apr 19, 2023.