Kelly, Erik

Kelly, Erik is an individual health care provider with primary practice located at 265 W Prairie Shopping Ctr , Hayden ID 83835-9855. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Kelly, Erik can be contacted via phone (208) 772-7850.

Contact Information

Primary practice address
265 W Prairie Shopping Ctr Hayden ID 83835-9855
Phone: (208) 772-7850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-1657A Idaho

Profile Details

NPI number 1396195269
LBN Legal business name Kelly, Erik
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2016
Last updated Jun 21st, 2016 - about 9 years ago

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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