KELLY D HARRIS DC PA


Address: 211 S Woodruff Ave Ste A1, Idaho Falls, ID 83401-4865
Phone: 2085222122

KELLY D HARRIS DC PA (NPI# 1174889372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174889372
Entity Type Organization
Organization Name KELLY D HARRIS DC PA
Practice Address 211 S Woodruff Ave Ste A1
Idaho Falls
ID 83401-4865
Practice Telephone 2085222122
Practice Fax Number 2085295588
Mailing Telephone 2085222122
Mailing Fax Number 2085295588
Enumeration Date 2012-04-02
Last Update Date 2012-04-02
Authorized Official Name DR. KELLY D HARRIS (OWNER)
Authorized Official Telephone 2085222122
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor CHIA511 ID Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID 001404500 05

Office Location

Street Address 211 S WOODRUFF AVE STE A1
City IDAHO FALLS
State ID
Zip Code 83401-4865

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407454796 Natalie M Theriault Acupuncturist 864 S Holmes, Idaho Falls, ID 83401 2020-10-09
1366099293 Idaho Recovery Center, LLC. Counselor 771 South Woodruff Avenue, Idaho Falls, ID 83401 2019-08-26
1851859110 Rebecca Chidester Counselor 771 Parkwood St., Idaho Falls, ID 83401 2019-03-06
1467924985 Benchmark Home Health Registered Nurse 2098 Gladys Dr., Idaho Falls, ID 83401 2018-12-21
1134625338 Idaho Falls Hand Therapy Limited Partnership Clinic/Center 564 S Woodruff Avenue, Idaho Falls, ID 83401 2018-04-05
1992227367 Brenda Emery Rehabilitation Practitioner 540 3rd Street, Idaho Falls, ID 83401 2017-07-07
1689068454 Addiction Treatment Centers of Idaho Community/Behavioral Health 211 S. Woodruff Avenue, Idaho Falls, ID 83401 2015-03-19
1386986412 Jennifer Lee Henderson Psychologist 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 2013-03-27
1487994430 Sterling Physician Group Pllc Clinic/Center 740 S. Woodruff Ave, Idaho Falls, ID 83401 2013-02-27
1952638025 Allstar Counseling Inc. Case Management 550 2nd Street, Suite 269, Idaho Falls, ID 83401 2009-11-11
Find all providers in zip 83401

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639655970 Derek C Calaway Chiropractor 661 S Woodruff Ave, Idaho Falls, ID 83401-3362 2018-07-18
1275969206 Chad Robert Webb Chiropractor 1797 W Broadway St, Idaho Falls, ID 83402-3045 2013-09-23
1316286081 Fit 4 Life Chiropractic LLC Chiropractor 2086 E 25th St, Idaho Falls, ID 83404-6490 2013-01-31
1558500652 Jaman B Brunson Chiropractor 3092 S 25th E, Idaho Falls, ID 83404-6520 2009-02-12
1861639221 Justin Tyrell Hammon Chiropractor 2105 Niagara St, Idaho Falls, ID 83404-8026 2009-01-07
1649441726 Wade Kelly Price Chiropractor 275 N Woodruff Ave, Idaho Falls, ID 83401-4303 2008-03-17
1184801946 Wight Chiropractic, Pa Chiropractor 333 S. Woodruff Ave, Idaho Falls, ID 83401 2008-01-23
1477739639 Sermon Chiropractic P.a. Chiropractor 3092 S. 25th E., Idaho Falls, ID 83404 2008-01-17
1437285632 Kerry Vince Young Chiropractor 1846 1st St, Idaho Falls, ID 83401-4415 2007-02-24
1447399076 Craig B Lords Chiropractor 335 River Pkwy, Idaho Falls, ID 83402-3315 2007-02-06
Find all providers in IDAHO FALLS

Competitor

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City IDAHO FALLS
Zip Code 83401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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