National Provider Identifier Database

KELLIE K BREAUX, FNP-MSN – NPI #1861939910
Family


Contact Information

KELLIE K BREAUX, FNP-MSN
700 W IRONWOOD DR
SUITE 155
COEUR D'ALENE, ID83814-2656
Phone: 208-667-0585
Fax: 208-667-0876
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for KELLIE K BREAUX

NPI Number 1861939910
Credentials FNP-MSN
Entity Individual
Enumeration date 01/27/2017
Last updated 07/10/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • ID License #: 55031
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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