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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518016062 NPPES
Idaho MEDICAID 000246700

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