KELLY J ANDERSON

Dr KELLY J ANDERSON is a male medical professional, specializing in Pediatric Medicine. He graduated in 2006 from University Of Washington School Of Medicine.

Contact

3430 WASHINGTON PKWY
IDAHO FALLS
ID
834047579

Tel:

KELLY J ANDERSON Information

Npi 1194935049
Pac Id 7214197987
Professional Enrollment Id I20120404000776
Last Name ANDERSON
First Name KELLY
Middle Name J
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year 2006
Primary Specialty PEDIATRIC MEDICINE
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Secondary Specialty 4
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Organization Legal Name
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Line 1 Street Address 3430 WASHINGTON PKWY
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Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834047579
Phone Number
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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