KELLY D HARRIS DC PA
NPI 1174889372
Chiropractor in Idaho Falls, ID

Q: What is Kelly D Harris Dc PA's NPI number?

The NPI number for Kelly D Harris Dc PA is 1174889372. It was assigned to this organization in the NPPES registry on April 2, 2012.

Q: What is Kelly D Harris Dc PA's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since April 02, 2012

211 S WOODRUFF AVE STE A1, IDAHO FALLS, ID 83401(208) 522-2122(208) 529-5588 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly D Harris Dc Pa NPPES

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

KELLY D HARRIS DC PA (NPI 1174889372) is a healthcare organization registered as a chiropractor in Idaho Falls, Idaho and active in the NPI registry since April 2012. The organization lists Kelly D Harris, Owner, as its authorized official.

NPPES Registry Identity

NPI1174889372

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameKELLY D HARRIS DC PA

Location Address211 S WOODRUFF AVE STE A1Idaho Falls, ID 83401-4865

Mailing Address211 S Woodruff Ave Ste A1Idaho Falls, ID 83401-4865 · (208) 522-2122 · Fax (208) 529-5588

Phone(208) 522-2122

Fax(208) 529-5588

Organization SubpartNo

Authorized OfficialKelly D HarrisOwner · (208) 522-2122

Enumeration DateApril 2, 2012

✔ NPI 1174889372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in ID · CHIA511

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

211 S WOODRUFF AVE STE A1, Idaho Falls, ID 83401

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Other Identifiers 3

Medicare PIN1672138

Medicaid001404500ID

Medicare UPINT44518

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kelly D Harris Dc PA's NPI number?

The NPI number for Kelly D Harris Dc PA is 1174889372. It was assigned to this organization in the NPPES registry on April 2, 2012.

Where is Kelly D Harris Dc PA located?

Kelly D Harris Dc PA is located at 211 S Woodruff Ave Ste A1, Idaho Falls, ID 83401. The listed phone number is (208) 522-2122.

What is Kelly D Harris Dc PA's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Kelly D Harris Dc PA was last updated on April 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.