Organization
KENNETH E KRELL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH KRELL MD (MANAGER)
(208) 313-5755
Entity
Organization
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 227-2000
Mailing address
7711 S 1ST E, IDAHO FALLS, ID 83404-7731
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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