Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelli M Pease, PA

Individual provider Physician Assistant · NPI 1023443421

Kelli M Pease, PA is a Physician Assistant in Boise, Idaho. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

500 W Fort St # 111
Boise, ID 83702
Phone: (208) 422-1326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1023443421
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 5, 2013
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022

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