Jacqueline Kelly, M.D.

NPI #1104169283 in Boise, Idaho

Provider Information

NPI Number: 1104169283
Entity Type: Individual
Name: Jacqueline Kelly, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Mar 27, 2013
Last Updated: Dec 21, 2021

Practice Location

Address: 500 W FORT ST # 111
Address 2: BOISE VAMC
City: Boise
State: Idaho
ZIP Code: 83702-4501
Phone: (208) 422-1314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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