Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY MEACHAM, PA-C
Active Sole ProprietorMR. KELLY MEACHAM, PA-C is a Physician Assistant healthcare provider located in IDAHO FALLS, Idaho. NPI 1023489085 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1023489085
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 15, 2015 (10.816611874789 yrs)
- Last Updated
- Oct 15, 2015
- License
-
PA-1290 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3389 MERLIN DRIDAHO FALLS, ID, 834047405Browse ID providers · Browse ZIP 83404
- Phone
- 2085529831
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DERON J RICKS | PA | 1639156573 |
| PHILIP C HESSE | PA | 1811975386 |
| JASON CHRISTOPHER JOYNER | PA-C | 1356310239 |
| MATTHEW R NELSON | PA C | 1649221912 |
| JOSEPH D ANDERSON | PA-C | 1386699833 |
| MATTHEW J MERZLOCK | PA-C | 1316985229 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.