| Krista Marie Kelly, PA-C | |
|
90 Hope Dr, Mountain Home Afb, ID 83648-1057 | |
| (208) 828-7505 | |
| Not Available |
| Full Name | Krista Marie Kelly |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 90 Hope Dr, Mountain Home Afb, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477134443 | NPI | - | NPPES |
| 1204799 | Other | NCCPA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Krista Marie Kelly, PA-C 90 Hope Dr, Mountain Home Afb, ID 83648-1057 Ph: (208) 828-7505 | Krista Marie Kelly, PA-C 90 Hope Dr, Mountain Home Afb, ID 83648-1057 Ph: (208) 828-7505 |
Amanda Marie Ralston, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 Phone: 208-828-7900 | |
Mr. Paulo Rafael Depaula, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648 Phone: 088-287-9002 | |
Kayla Azalea Pope, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 Phone: 208-828-7900 | |
William Howard, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr, Bldg 6000, Mountain Home Afb, ID 83648 Phone: 208-828-7122 |