NPI 1184943789 · live from the CMS NPI Registry
Nathan Ross Kelsey, M.D.
Radiology, Diagnostic Radiology in Twin Falls, ID. National Provider Identifier 1184943789, active.
NPI record
| NPI | 1184943789 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 801 Pole Line Rd W, Twin Falls, ID 83301 |
| Practice phone | 208-814-1500 |
| Mailing address | 190 E Bannock St, Boise, ID 83712 |
| Enumerated | May 20, 2010 |
| Last updated | May 17, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 0101250278 (VA) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | M-14787 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.