Individual
CALEB KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 LINCOLN WAY STE 415, COEUR D ALENE, ID 83814-2527
(208) 625-4595
(208) 625-4596
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4595
(208) 625-4596
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M-16777
ID
Other
Enumeration date
06/02/2016
Last updated
07/16/2024
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