Individual provider · Type 1 NPI

Tracey Dawn Kelly, PA-C

Physician Assistant · Coeur D Alene, ID

NPI number 1184554230 Active

Practice location

700 W Ironwood Dr Ste 350
Coeur D Alene, ID 83814-4487

Call (208) 625-5222 Map

Mailing address

6840 N Verlaine Dr
Coeur D Alene, ID 83815-8110

Other practice locations

  • 700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814-4404 · (208) 625-5222

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2881912 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

14 other providers at this address

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About NPI 1184554230

Tracey Dawn Kelly, PA-C's National Provider Identifier is 1184554230, issued on May 20, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Aug 24, 2026.