David J Kelly, MD

NPI #1194862417 in Eagle, Idaho

Provider Information

NPI Number: 1194862417
Entity Type: Individual
Name: David J Kelly, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jan 30, 2007
Last Updated: Apr 4, 2024

Practice Location

Address: 3217 W BAVARIA ST
City: Eagle
State: Idaho
ZIP Code: 83616-5171
Phone: (208) 302-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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