Organization · Type 2 NPI

Kelly D Harris DC PA

Chiropractor · Idaho Falls, ID

NPI number 1174889372 Active

Practice location

211 S Woodruff Ave Ste A1
Idaho Falls, ID 83401-4865

Fax (208) 529-5588

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIA511 (ID)

Chiropractor: 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.

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About NPI 1174889372

Kelly D Harris DC PA's National Provider Identifier is 1174889372, issued on Apr 2, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Apr 2, 2012.