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

Kelly Beach, PA

Individual provider Physician Assistant · NPI 1649668765

Kelly Beach, PA is a Physician Assistant in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

300 W Myrtle St Ste 100
Boise, ID 83702-7690
Phone: (208) 472-9082
Fax: (208) 472-9083
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1208 (ID)

Record details

NPI number1649668765
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 23, 2014
Last updated in NPPESJanuary 8, 2016

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