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Kimberly Sue Kelly

Rehabilitation Psychologist

630 S Woodruff Ave
Idaho Falls , Idaho 83401-5299

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Kimberly Sue Kelly

Rehabilitation Psychologist

630 S Woodruff Ave
Idaho Falls , Idaho 83401-5299

(208) 535-0505

Write a Review Save Call

Kimberly Sue Kelly

Rehabilitation Psychologist

630 S Woodruff Ave
Idaho Falls , Idaho 83401-5299

(208) 535-0505 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Rehabilitation Psychologist

Languages spoken

  • English

Location

630 S Woodruff Ave Idaho Falls , Idaho 83401-5299

First Address

  • Kimberly Sue Kelly
  • 630 S Woodruff Ave
  • Idaho Falls, ID
  • Zip : 83401-5299
  • Phone : (208) 535-0505

Second Address

  • Kimberly Sue Kelly
  • 630 S Woodruff Ave
  • Idaho Falls, ID
  • Zip : 83401-5299
  • Phone : (208) 535-0505

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FAQs


Where did Kimberly Sue Kelly attend graduate school?

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Where did Kimberly Sue Kelly do her residency?

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Where did Kimberly Sue Kelly do her fellowship?

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Is Kimberly Sue Kelly board certified?

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What type of doctor is Kimberly Sue Kelly

Rehabilitation Psychologist

In what state does Kimberly Sue Kelly practice in?

Idaho

Where is Kimberly Sue Kelly ’s practice located?

630 S Woodruff Ave , Idaho Falls, Idaho, 83401-5299

What is Kimberly Sue Kelly ’s gender?

Female

Is Kimberly Sue Kelly a sole practitioner?

No

Is Kimberly Sue Kelly accepting new patients?

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What languages does Kimberly Sue Kelly speak?

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Does Kimberly Sue Kelly accept insurance?

Yes, Kimberly Sue Kelly accepts insurance

Does Kimberly Sue Kelly offers telemedicine?

Kimberly Sue Kelly has not indicated if she offers telemedicine

What is Kimberly Sue Kelly ’s professional license number?

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What is Kimberly Sue Kelly ’s NPI number?

1174833966

Does Kimberly Sue Kelly have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103TR0400X Rehabilitation Psychologist

National Provider Identifier

NPI 1174833966
Provider Name Kimberly Sue Kelly
First Address Idaho Falls, ID 83401-5299
Second Address Idaho Falls, ID 83401-5299
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 14/10/2010
Last Update Date 14/10/2010

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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