Individual provider · Type 1 NPI

Kelly Beach, PA

Physician Assistant · Boise, ID

NPI number 1649668765 Active

Practice location

300 W Myrtle St, Suite 100
Boise, ID 83702-7690

Fax (208) 472-9083

Mailing address

PO Box 191050
Boise, ID 83719-1050

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-1208 (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 1649668765

Kelly Beach, PA's National Provider Identifier is 1649668765, issued on Dec 23, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Jan 8, 2016.