Physician Assistant
KELLY BEACH PA
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 Plan acceptance stays unpublished until the practice reports it.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 1649668765 · enumerated 2014-12-23 · record updated 2016-01-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 300 W MYRTLE ST, SUITE 100, BOISE, ID, 83702-7690 (208) 472-9082 Fax (208) 472-9083 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 191050, BOISE, ID, 83719-1050 (208) 955-6522 Fax (208) 955-6503 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License PA-1208 ID
In this directory
Locations and evidence
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Practice location
BOISE, ID, 837027690
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.