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

Kimberly Sue Kelly

Individual provider Rehabilitation Psychologist · NPI 1174833966

Kimberly Sue Kelly is a Rehabilitation Psychologist in Idaho Falls, Idaho. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

630 S Woodruff Ave
Idaho Falls, ID 83401-5299
Phone: (208) 535-0505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Psychologist (primary) Taxonomy 103TR0400X

Record details

NPI number1174833966
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 14, 2010
Last updated in NPPESOctober 14, 2010

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