IndividualActive
Brandon Kelly, M.D.
NPI 1295942142 · Neurological Surgery Physician · Idaho Falls, ID
Provider details
- NPI number
- 1295942142
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A11613 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3345 Potomac Way
Idaho Falls, ID 83404-4978
Phone: (208) 552-6210
Fax: (208) 552-2027
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 277381
Atlanta, GA 30384-7381
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2022-02-01
- Certified
- 2020-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.