Kelly, Brandon Reyes
Kelly, Brandon Reyes is an individual health care provider with primary practice located at 3345 Potomac Way , Idaho Falls ID 83404-4978. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Kelly, Brandon Reyes can be contacted via phone (208) 552-6210.Contact Information
Primary practice address
3345 Potomac Way
Idaho Falls ID 83404-4978
Phone: (208) 552-6210
Fax: (208) 552-2027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | A11613 | California |
Profile Details
| NPI number | 1295942142 |
|---|---|
| LBN Legal business name | Kelly, Brandon Reyes |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Feb 1st, 2022 - about 2 years ago |
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.
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