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Kelly Beach, PA
NPI 1649668765 · Physician Assistant · Boise, ID
Kelly Beach, PA is a Physician Assistant provider in Boise, ID (NPI 1649668765).
Provider details
- NPI number
- 1649668765
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA-1208 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 W Myrtle St
Suite 100
Boise, ID 83702-7690
Phone: (208) 472-9082
Fax: (208) 472-9083
Street-level locationGet directions
Mailing address
Po Box 191050
Boise, ID 83719-1050
Registry dates
- Enumerated
- 2014-12-23
- Last updated
- 2016-01-08
Frequently asked questions
- What is Kelly Beach's NPI number?
- Kelly Beach's National Provider Identifier (NPI) is 1649668765, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Beach's specialty?
- Kelly Beach is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Beach located?
- Kelly Beach's practice location on file with NPPES is 300 W Myrtle St, Boise, ID 83702-7690.
- What is Kelly Beach's phone number?
- The practice phone number listed in the NPPES registry for Kelly Beach is (208) 472-9082.
- Is Kelly Beach's NPI active?
- Yes — Kelly Beach's NPI (1649668765) is active in the NPPES registry as of the last update on 2016-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.