License holder summary

Dr. KELLY KAY SHOWALTER is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. KELLY KAY SHOWALTER is 2450 Shaw Mountain Road BOISE ID 83712. This licensed professional license is current. The license was granted 09/15/1994 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. KELLY KAY SHOWALTER
Board Of Medicine
License number
M-6589
Date granted
09/15/1994
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2450 Shaw Mountain Road BOISE ID 83712
idaholicensing.com
ID 48357848
LAST UPDATED 2024-04-23 23:30:28 UTC

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