Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly M Nelson, DO

Individual provider Family Medicine Physician · NPI 1720293749

Kelly M Nelson, DO is a Family Practice in Coeur D Alene, Idaho. Qualified in 2005, 21 years ago. Practices with Kootenai Health Inc, a 394-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
21
Licensed in
ID
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

566 W Prairie Ave
Coeur D Alene, ID 83815-7766
Phone: (208) 625-5155
Fax: (208) 625-5156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O1165 (ID)

Record details

NPI number1720293749
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 12, 2007
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Coeur D Alene