location
search-icon
person
Krista Marie Kelly, PA-C
Student in an Organized Health Care Education/Training Program in Mountain Home Afb, Idaho
NPI 1477134443

Krista Marie Kelly is a Student in an Organized Health Care Education/Training Program based in Mountain Home Afb, ID. Krista Marie Kelly practices in Mountain Home Afb, ID and has the professional credentials of PA-C. The NPI Number for Krista Marie Kelly is 1477134443 and holds a License No. (Idaho).

The current practice location address for Krista Marie Kelly is 90 Hope Dr, Mountain Home Afb, ID and can be reached out via phone at 208-828-7505.

Location: 90 Hope Dr, Mountain Home Afb, ID, 83648-1057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477134443
Provider Name
Krista Marie Kelly
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
90 Hope Dr, Mountain Home Afb, ID, 83648-1057
Phone Number
208-828-7505
Fax Number
Provider Enumeration Date
04/20/2021
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1204799 01 NCCPA
institution
Provider Business Practice Location Address Details
Address
90 Hope Dr
City
Mountain Home Afb
State
Idaho
Zip
83648-1057
Phone Number
208-828-7505
Fax Number
person
Provider Business Mailing Address Details
Address
90 Hope Dr
City
Mountain Home Afb
State
Idaho
Zip
83648-1057
Phone Number
208-828-7505
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.