person
Kaili Michelle Smalley
Student in an Organized Health Care Education/Training Program in Star, Idaho
NPI 1104422336

Kaili Michelle Smalley is a Student in an Organized Health Care Education/Training Program based in Nampa, ID. Kaili Michelle Smalley practices in Star, ID. The NPI Number for Kaili Michelle Smalley is 1104422336 and holds a License No. (Idaho).

The current practice location address for Kaili Michelle Smalley is 12222 W Bridger Bay Dr, Star, ID and can be reached out via phone at 208-391-2773. You can also correspond with Kaili Michelle Smalley through the mailing address at 133 N ROBINSON BLVD, NAMPA, ID - 83687-8617 (mailing address contact number: 208-249-7597).

Location: 12222 W Bridger Bay Dr, Star, ID, 83687-8617
person
Provider Profile Details
NPI Number
1104422336
Provider Name
Kaili Michelle Smalley
Credential
Provider Entity Type
Individual
Gender
Female
Address
12222 W Bridger Bay Dr, Star, ID, 83687-8617
Phone Number
208-391-2773
Fax Number
Provider Enumeration Date
12/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12222 W Bridger Bay Dr
City
State
Zip
83669-5081
Phone Number
208-391-2773
Fax Number
person
Provider Business Mailing Address Details
Address
12222 W Bridger Bay Dr
City
State
Zip
83669-5081
Phone Number
208-391-2773
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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.
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