Search › Idaho › 311ZA0620X
Kelly Brady
NPI 1881501187 · on the registry since 2026 · sole proprietor
Practice
- Address
- 2604 Seaport Dr
Lewiston, ID 83501 - Phone
- (509) 254-3207
Registry record
- Primary taxonomy
- 311ZA0620X
311ZA0620X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-25
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