Kelly, Caleb
Kelly, Caleb is an sole proprietor health care provider with primary practice located at 1919 Lincoln Way Ste 415 , Coeur D Alene ID 83814-2527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kelly, Caleb can be contacted via phone (208) 625-4595.Contact Information
Primary practice address
1919 Lincoln Way Ste 415
Coeur D Alene ID 83814-2527
Phone: (208) 625-4595
Fax: (208) 625-4596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | M-16777 | Idaho |
Profile Details
| NPI number | 1144678921 |
|---|---|
| LBN Legal business name | Kelly, Caleb |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2016 |
| Last updated | Jul 16th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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