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

Tracey Dawn Kelly, PA-C

Individual provider Physician Assistant · NPI 1184554230

Tracey Dawn Kelly, PA-C is a Physician Assistant in Coeur D Alene, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2026
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

700 W Ironwood Dr Ste 350
Coeur D Alene, ID 83814-4487
Phone: (208) 625-5222
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2881912 (ID)

Record details

NPI number1184554230
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 20, 2026
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

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