Kelly Wilkinson
ALLIANCE MEDICAL GROUP LLC


Address: 6052 W State St, Boise, ID 83703-2739
Phone: 2089471947

Kelly Wilkinson (NPI# 1245522036, PAC ID# 3274757075) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1245522036
PAC ID by PECOS 3274757075
Professional Enrollment ID I20150901002007
Full Name Kelly Wilkinson
Organization Legal Name ALLIANCE MEDICAL GROUP LLC
Address 6052 W State St
Boise
ID 83703-2739
Phone Number 2089471947
Gender F
Medical School UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year 2011
Primary Specialty FAMILY MEDICINE
Secondary Specialties SPORTS MEDICINE
Group Practice PAC ID 3971544685
Number of Group Practice Members 106
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130007 SAINT ALPHONSUS REGIONAL MEDICAL CENTER
130006 ST LUKE'S REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
6052 W State St, Boise, ID 83703-2739 2089471947 ALLIANCE MEDICAL GROUP LLC
777 N Raymond St, Boise, ID 83704-9251 2085142500 THE FAMILY MEDICINE RESIDENCY OF IDAHO INC

Organization Information

Organization Legal Name ALLIANCE MEDICAL GROUP LLC
Physicians 116

Physicians with the same organization

Name Specialty Organization Address
Thiago D Alberto Nurse Practitioner Alliance Medical Group LLC 4815 Cleveland Blvd, Caldwell, ID 83605-6501
Ryan Anthony Baugher Family Medicine Alliance Medical Group LLC 6052 W State St, Boise, ID 83703-2739
Kelsey Martin Nurse Practitioner Alliance Medical Group LLC 3280 E Lanark Dr, Meridian, ID 83642-5982
Nicole Augusta Lafleur Family Medicine Alliance Medical Group LLC 1375 N Happy Valley Rd, Nampa, ID 83687-5280
Alishia Cairl Physician Assistant Alliance Medical Group LLC 512 N 21st Ave, Caldwell, ID 83605-4368
Jedd D Moore Nurse Practitioner Alliance Medical Group LLC 4971 W Overland Rd, Boise, ID 83705-2822
Kelly Moore Nurse Practitioner Alliance Medical Group LLC 1648 Nw 1st St, Meridian, ID 83642-2212
Trent B Giles Family Medicine Alliance Medical Group LLC 700 Caldwell Blvd, Nampa, ID 83651-1707
Michael Vincen-brown Physician Assistant Alliance Medical Group LLC 435 S Eagle Rd, Eagle, ID 83616-6067
Steven Barnum Nurse Practitioner Alliance Medical Group LLC 1115 12th Ave Rd, Nampa, ID 83686-5738

Office Location

Street Address 6052 W STATE ST
City BOISE
State ID
Zip 83703-2739

Physicians in the same location

Name Specialty Organization Address
Ryan Anthony Baugher Family Medicine Alliance Medical Group LLC 6052 W State St, Boise, ID 83703-2739
Bruce L Belzer Family Medicine Alliance Medical Group LLC 6052 W State St, Boise, ID 83703-2739
Mary E. Nagle Family Medicine Alliance Medical Group LLC 6052 W State St, Boise, ID 83703-2739
Brian C Cey Nurse Practitioner Alliance Medical Group LLC 6052 W State St, Boise, ID 83703-2739
Matt Mors Otolaryngology Alliance Medical Group LLC 6052 W State St, Boise, ID 83703-2739
Matthew M Bender Dermatology Alliance Medical Group LLC 6052 W State St, Boise, ID 83703-2739
Martin R Tubach Otolaryngology Alliance Medical Group LLC 6052 W State St, Boise, ID 83703-2739
Travis W Robbins Nurse Practitioner Alliance Medical Group LLC 6052 W State St, Boise, ID 83703-2739
Stephen C Martinez Family Practice Alliance Medical Group LLC 6052 W State St, Boise, ID 83703-2739

Physicians in the same zip code

Name Specialty Organization Address
Suzanne Buchanan Clinical Social Worker 6126 W State St, Suite 310, Boise, ID 83703-2741
Sebastian Thomas Saur Physical Therapy Physical Therapy 180 LLC 5909 W State St, Boise, ID 83703-3039
Honor H Harris Clinical Social Worker Dwyer and Harrington, Pllc 5985 W State St, Boise, ID 83703-3039
Janet E Mitchell Physician Assistant Dwyer and Harrington, Pllc 5985 W State St, Boise, ID 83703-3039
Christopher M Gakwa Nurse Practitioner Dwyer and Harrington, Pllc 5985 W State St, Boise, ID 83703-3039
Janet C Strong Nurse Practitioner Dwyer and Harrington, Pllc 5985 W State St, Boise, ID 83703-3039
Zana Delic Physician Assistant Dwyer and Harrington, Pllc 5985 W State St, Boise, ID 83703-3039
Jeffrey L Johnson Physician Assistant Dwyer and Harrington, Pllc 5985 W State St, Boise, ID 83703-3039
James Clifford Selle Clinical Social Worker Dwyer and Harrington, Pllc 5985 W State St, Boise, ID 83703-3039
Shawna L Kuehne Nurse Practitioner Dwyer and Harrington, Pllc 5985 W State St, Boise, ID 83703-3039
Find all physicians in zip 83703

Competitor

Search similar physicians

City BOISE
Zip Code 83703
Specialty FAMILY MEDICINE
City + Specialty BOISE + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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