Individual provider · Type 1 NPI

Kelcie Dickerson, PA

Physician Assistant · Twin Falls, ID

NPI number 1992105696 Active

Practice location

801 Pole Line Rd W
Twin Falls, ID 83301-5799

Call (208) 814-1440 Map

Fax (208) 814-1924

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-1345 (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 1992105696

Kelcie Dickerson, PA's National Provider Identifier is 1992105696, issued on Aug 29, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Twin Falls, ID. The record was last updated on Jul 23, 2026.