Individual provider · Type 1 NPI

Brandon Reyes Kelly, MD

Neurological Surgery Physician · Idaho Falls, ID

NPI number 1295942142 Active

Practice location

3345 Potomac Way
Idaho Falls, ID 83404-4978

Fax (208) 552-2027

Mailing address

PO Box 277381
Atlanta, GA 30384-7381

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XA11613 (CA)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1295942142

Brandon Reyes Kelly, MD's National Provider Identifier is 1295942142, issued on May 17, 2007. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Feb 1, 2022.