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Dr. Kelly D Harris, DC
Chiropractor in Idaho Falls, Idaho
NPI 1851467559

Kelly D Harris is a Chiropractor based in Idaho Falls, ID. Kelly D Harris practices in Idaho Falls, ID and has the professional credentials of DC. The NPI Number for Kelly D Harris is 1851467559 and holds a License No. CHIA-511 (Idaho).

The current practice location address for Kelly D Harris is 211 S Woodruff Ave Ste B, Idaho Falls, ID and can be reached out via phone at 208-522-2122.

Location: 211 S Woodruff Ave Ste B, Idaho Falls, ID, 83401-4369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851467559
Provider Name
Kelly D Harris
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
211 S Woodruff Ave Ste B, Idaho Falls, ID, 83401-4369
Phone Number
208-522-2122
Fax Number
Provider Enumeration Date
11/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C511-3 01 ID BLUE CROSS OF IDAHO
36385 01 ID BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
211 S Woodruff Ave Ste B
City
Idaho Falls
State
Idaho
Zip
83401-4369
Phone Number
208-522-2122
Fax Number
person
Provider Business Mailing Address Details
Address
211 S Woodruff Ave Ste B
City
Idaho Falls
State
Idaho
Zip
83401-4369
Phone Number
208-522-2122
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIA-511 (Idaho)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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