Krista Marie Kelly, PA-C
NPI #1477134443 in Mountain Home Afb, Idaho
Provider Information
- NPI Number
- 1477134443
- Entity Type
- Individual
- Name
- Krista Marie Kelly, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Apr 20, 2021
- Last Updated
- Apr 28, 2025
Practice Location
- Address
- 90 HOPE DR
- State
- Idaho
- ZIP Code
- 83648-1057
- Phone
- (208) 828-7505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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