Christensen, Kelli Deanne
Christensen, Kelli Deanne is an individual health care provider with primary practice located at 2850 Olympus Dr. , Pocatello ID 83201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Christensen, Kelli Deanne can be contacted via phone (208) 239-3815.Contact Information
Primary practice address
2850 Olympus Dr.
Pocatello ID 83201
Phone: (208) 239-3815
Fax: (208) 239-3814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M9428 | Idaho |
Profile Details
| NPI number | 1366443699 |
|---|---|
| LBN Legal business name | Christensen, Kelli Deanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Dec 28th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366443699 | NPPES |
| Idaho | MEDICAID | 1366443699 | |
| Idaho | MEDICAID | 8070707000 |
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