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

Krista Marie Kelly, PA-C

Individual provider Medical Physician Assistant · NPI 1477134443

Krista Marie Kelly, PA-C is a Medical Physician Assistant in Mountain Home AFB, Idaho. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

90 Hope Dr
Mountain Home AFB, ID 83648-1057
Phone: (208) 828-7505
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1477134443
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 20, 2021
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025