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

Mrs. Kelly Paris Nellesen

Individual provider Athletic Trainer · NPI 1144346578

Mrs. Kelly Paris Nellesen is an Athletic Trainer in Eagle, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007

Practice location Address checks out

574 Park Ln
Eagle, ID 83616-4512
Phone: (208) 939-2189
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT-207 (ID)

Record details

NPI number1144346578
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 21, 2007
Last updated in NPPESJuly 8, 2007

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