Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY L DUSTIN, DO
ActiveKELLY L DUSTIN, DO is a Family Medicine healthcare provider located in REXBURG, Idaho. NPI 1114957362 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · REXBURG, ID
Registration Details
- NPI Number
- 1114957362
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 4, 2006 (20.079689152654 yrs)
- Last Updated
- Nov 19, 2019
- Licenses
-
O-0459 (ID)MR0875 (ID)
Practice Information
- Address
-
21 WINN DRREXBURG, ID, 834405277Browse ID providers · Browse ZIP 83440
- Phone
- 2088815222
- Fax
- 8774414715
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Student (Health Education/Training)
Other Family Medicine Providers in REXBURG, ID
| Name | Credential | NPI |
|---|---|---|
| MR. JOSEPH WATSON | MD | 1336140664 |
| JUD E MILLER | MD | 1831175231 |
| DR. SCOTT RUSSELL HARDY | D.O. | 1750329629 |
| DAVID F DANIELS | D.O. | 1972549137 |
| JEFFREY GARDNER HOPKIN | M.D. | 1780797712 |
| DR. CLAY CHRISTIAN PRINCE | M.D. | 1326152927 |
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.