Kelly L Dustin DO

  • NPI 1114957362
According to our database, the NPI number for Kelly L Dustin DO is 1114957362 and activated since 17 years ago. Kelly L Dustin DO is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 21 Winn Dr, Rexburg, ID 83440. You can also contact Kelly L Dustin DO via telephone number is (208) 881-5222. Provider NPI information was last updated on 11/19/2019.

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Overview of Kelly L Dustin DO

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/04/2006
  • Last updated: 11/19/2019

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: MR0875
  • License State: ID

Provider Mailing Address

  • Address: 794 Eastland Dr
    Twin Falls, ID 83301
  • Phone: 208-734-3312
  • Fax: 208-734-5036

Provider Practice Location

  • Address: 21 Winn Dr
    Rexburg, ID 83440
  • Phone: 208-881-5222
  • Fax: 877-441-4715

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: O-0459
  • License State: ID
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 8035175
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: ID
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kelly L Dustin DO?
  • A: The npi number for Kelly L Dustin DO is 1114957362.
  • Q: What are Kelly L Dustin DO's specialties?
  • A: Kelly L Dustin DO's specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for Kelly L Dustin DO?
  • A: The medical license number for Kelly L Dustin DO is MR0875 and issued in ID in USA.
  • Q: Where is Kelly L Dustin DO practice location?
  • A: Kelly L Dustin DO is practicing at 21 Winn Dr, Rexburg, ID 83440.
  • Q: How to contact Kelly L Dustin DO?
  • A: You can contact Kelly L Dustin DO via 208-881-5222.
Medicare Specialty
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Clinical Pharmacology
Family Medicine
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Sports Medicine
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