NPI 1295942142

Brandon Reyes Kelly, MD

Practitioner Neurological Surgery Physician Idaho Falls, ID

Practice location

Address: 3345 Potomac Way, Idaho Falls, ID 83404-4978
Phone: (208) 552-6210
Fax: (208) 552-2027
Mailing address: PO Box 277381, Atlanta, GA 30384-7381

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence A11613 (CA)

Other Neurological Surgery providers in Idaho →

Registry record

NPI: 1295942142
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 May 2007
Record last updated: 1 Feb 2022

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.