NPI 1174833966
Kimberly Sue Kelly
Practice location
- Address
- 630 S Woodruff Ave, Idaho Falls, ID 83401-5299
- Phone
- (208) 535-0505
Registered specialties
Rehabilitation Psychologist
Primary
Registry record
- NPI
- 1174833966
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Oct 2010
- Record last updated
- 14 Oct 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.