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Erik Kelly, NP-C
Family Nurse Practitioner in Hayden, Idaho
NPI 1396195269

Erik Kelly is a Family Nurse Practitioner based in Hayden, ID and is specialized in Family. Erik Kelly practices in Hayden, ID and has the professional credentials of NP-C. The NPI Number for Erik Kelly is 1396195269 and holds a License No. NP-1657A (Idaho).

The current practice location address for Erik Kelly is 265 W Prairie Shopping Ctr, Hayden, ID and can be reached out via phone at 208-772-7850.

Location: 265 W Prairie Shopping Ctr, Hayden, ID, 83835-0038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396195269
Provider Name
Erik Kelly
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
265 W Prairie Shopping Ctr, Hayden, ID, 83835-0038
Phone Number
208-772-7850
Fax Number
Provider Enumeration Date
06/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
265 W Prairie Shopping Ctr
City
Hayden
State
Idaho
Zip
83835-9855
Phone Number
208-772-7850
Fax Number
person
Provider Business Mailing Address Details
Address
265 W Prairie Shopping Ctr
City
Hayden
State
Idaho
Zip
83835-9855
Phone Number
208-772-7850
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP-1657A (Idaho)
Definition
Definition to come...
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