Physician Assistant
KELLY ANDERSON
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1295465284 · enumerated 2022-06-13 · record updated 2022-10-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 3340 E GOLDSTONE DR, MERIDIAN, ID, 83642-1026 (208) 367-5170 Fax (208) 367-5180 Google Maps Apple Maps OpenStreetMap
- Practice location 6051 W EMERALD ST, BOISE, ID, 83704-8969 (208) 302-5150 Fax (208) 302-5155 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X
- Physician Assistant 363A00000X · Primary · License PA-2336 ID
In this directory
Locations and evidence
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Practice location
BOISE, ID, 837048969
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.