Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTA MARIE KELLY, PA-C
ActiveKRISTA MARIE KELLY, PA-C is a Medical Physician Assistant healthcare provider located in MOUNTAIN HOME AFB, Idaho. NPI 1477134443 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MOUNTAIN HOME AFB, ID
Registration Details
- NPI Number
- 1477134443
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2021 (5.3630795979357 yrs)
- Last Updated
- Apr 28, 2025
Practice Information
- Address
-
90 HOPE DRMOUNTAIN HOME AFB, ID, 836481057Browse ID providers · Browse ZIP 83648
- Phone
- 2088287505
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.