Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID J KELLY, MD
ActiveDAVID J KELLY, MD is a Family Medicine healthcare provider located in EAGLE, Idaho. NPI 1194862417 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · EAGLE, ID
Registration Details
- NPI Number
- 1194862417
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2007 (19.494222774298 yrs)
- Last Updated
- Apr 4, 2024
- Licenses
-
MD155014 (OR)M-17694 (ID)47273 (WI)M-9938 (ID)
Practice Information
- Address
-
3217 W BAVARIA STEAGLE, ID, 836165171Browse ID providers · Browse ZIP 83616
- Phone
- 2083026200
- Fax
- 2083026255
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in EAGLE, ID
| Name | Credential | NPI |
|---|---|---|
| MARCIA D PRICE-MILLER | M.D. | 1376504498 |
| DR. SHAWN CHRISTIAN NOWIERSKI | MD | 1437109089 |
| NANCY MALLORY | MD | 1083665129 |
| DR. MICHAEL A KAYLOR | M.D. | 1104878610 |
| VICKI L WOOLL | MD MPH | 1922053172 |
| DR. LINDA D BURKE | MD | 1376581124 |
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.