Individual provider · Type 1 NPI

David Kelly Brown, DO

Student in an Organized Health Care Education/Training Program · Idaho Falls, ID

NPI number 1417659129 Active

Practice location

3100 Channing Way
Idaho Falls, ID 83404-7533

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XMRO-2289 (ID)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417659129

David Kelly Brown, DO's National Provider Identifier is 1417659129, issued on Mar 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 27, 2025.