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ERIK KELLY NP-C
NPI 1396195269
Nurse Practitioner - Family in Hayden, ID

Active since June 21, 2016
265 W PRAIRIE SHOPPING CTR, HAYDEN, ID 83835(208) 772-7850 Get Directions Write a Review

NPPES record last updated: June 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Erik Kelly Np-c NPPES

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

ERIK KELLY NP-C (NPI 1396195269) is an individual family provider in Hayden, Idaho, licensed in Idaho (NP-1657A) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1396195269
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameERIK KELLYCredential: NP-C
Location Address265 W PRAIRIE SHOPPING CTRHayden, ID 83835-9855
Mailing AddressPo Box 38Hayden, ID 83835-0038
Phone(208) 772-7850
Sole ProprietorNo
Enumeration DateJune 21, 2016
✔ NPI 1396195269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ID · NP-1657A
265 W PRAIRIE SHOPPING CTR, Hayden, ID 83835
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

1ST CLINIC
Clinic/Center (Health Service)
265 W PRAIRIE SHOPPING CTR
HAYDEN, ID 83835
Kootenai County (208) 772-7850
FAMILY MEDICAL CARE PLLC
Family Medicine
265 W PRAIRIE SHOPPING CTR
HAYDEN, ID 83835
Kootenai County (208) 772-7850
MRS. LANA ROCHELLE YOUNG N.P.
Nurse Practitioner (Family)
265 W PRAIRIE SHOPPING CTR
HAYDEN, ID 83835
Kootenai County (208) 772-7850
FAMILY MEDICAL CARE CLINICS CORPORATION A PROFESSIONAL ASSOCIATION
Family Medicine
265 W PRAIRIE SHOPPING CTR
HAYDEN, ID 83835
Kootenai County (208) 772-7850

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 Erik Kelly's NPI number?

The NPI number for Erik Kelly is 1396195269. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Erik Kelly located?

Erik Kelly practices at 265 W Prairie Shopping Ctr, Hayden, ID 83835. The listed phone number is (208) 772-7850.

What is Erik Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Erik Kelly was last updated on June 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.