IndividualActive
Kelly Palmer, D.O.
NPI 1184780694 · Child & Adolescent Psychiatry Physician · Blackfoot, ID
Provider details
- NPI number
- 1184780694
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- O-144 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
700 East Alice Street
Blackfoot, ID 83221-0400
Phone: (208) 785-8517
Fax: (208) 785-8516
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 400
Blackfoot, ID 83221-0400
Registry dates
- Enumerated
- 2006-12-29
- Last updated
- 2012-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.