Search › Idaho › 363AM0700X
Krista Kelly, PA-C
NPI 1477134443 · on the registry since 2021
Practice
- Address
- 90 Hope Dr
Mountain Home Afb, ID 83648 - Phone
- (208) 828-7505
- Organisation at this address
- Mt Home Refill Phcy
366th Medical Group Sgsl
366th Medgrp-Mountain Home
366th Medgrp-Mountain HomeInferred from a shared address, not stated in the registry. - Clinicians at this address
- 90
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Sex
- Female
- Record last updated
- 2025-04-28
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