Individual provider · Type 1 NPI

Kelly Anne Heusinkveld, PA-C

Physician Assistant · Boise, ID

NPI number 1922505205 Active

Practice location

10583 W Lake Hazel Rd
Boise, ID 83709

Call (208) 302-5950 Map

Fax (208) 302-5955

Mailing address

3340 E Goldstone Way
Meridian, ID 83642

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-1652 (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 1922505205

Kelly Anne Heusinkveld, PA-C's National Provider Identifier is 1922505205, issued on Apr 12, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on May 1, 2019.