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KIMBERLY SUE KELLY
NPI 1174833966
Psychologist - Rehabilitation in Idaho Falls, ID

Active since October 14, 2010
630 S WOODRUFF AVE, IDAHO FALLS, ID 83401(208) 535-0505 Get Directions Write a Review

NPPES record last updated: October 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Sue Kelly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY SUE KELLY (NPI 1174833966) is an individual rehabilitation provider in Idaho Falls, Idaho and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1174833966
Entity TypeIndividualFemale
Primary Taxonomy103TR0400X
Provider Legal NameKIMBERLY SUE KELLY
Location Address630 S WOODRUFF AVEIdaho Falls, ID 83401-5299
Mailing Address630 S Woodruff AveIdaho Falls, ID 83401-5299 · (208) 535-0505
Phone(208) 535-0505
Sole ProprietorYes
Enumeration DateOctober 14, 2010
✔ NPI 1174833966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · RehabilitationBehavioral Health & Social Service Providers
Taxonomy Code103TR0400X
Definition
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.
630 S WOODRUFF AVE, Idaho Falls, ID 83401
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Kelly's NPI number?

The NPI number for Kimberly Kelly is 1174833966. It was assigned to this individual provider in the NPPES registry on October 14, 2010.

Where is Kimberly Kelly located?

Kimberly Kelly practices at 630 S Woodruff Ave, Idaho Falls, ID 83401. The listed phone number is (208) 535-0505.

What is Kimberly Kelly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Rehabilitation, with taxonomy code 103TR0400X.

When was this NPI record last updated?

The NPPES record for Kimberly Kelly was last updated on October 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.