Krell, Kenneth E
Krell, Kenneth E is an individual health care provider with primary practice located at 2860 Channing Way Ste 221 , Idaho Falls ID 83404-7541. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Krell, Kenneth E can be contacted via phone (208) 535-4000.Contact Information
Primary practice address
2860 Channing Way Ste 221
Idaho Falls ID 83404-7541
Phone: (208) 535-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | M4522 | Idaho |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M4522 | Idaho |
Profile Details
| NPI number | 1518016062 |
|---|---|
| LBN Legal business name | Krell, Kenneth E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518016062 | NPPES |
| Idaho | MEDICAID | 000246700 |
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