Terrell Kelly, LCSW

NPI 1417015876 · on the registry since 2006 · sole proprietor

Practice

Address: 120 E Howard St
Driggs, ID 83422
Phone: (208) 354-6317
Organisation at this address: Teton Valley Health Care Inc
Teton Valley Health Care, Inc
Teton Valley Hospital & Surgicenter
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 1041C0700X
Licence states on file: ID, WY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho