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David J Kelly, MD

Family Medicine Physician in Eagle, ID · enumerated 2007 · practices at Oasis Pediatrics.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194862417

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Registry record

Entity type Individual (Type 1)
Name David J Kelly
Credential MD
Sex Male
Practice address 3217 W Bavaria St, Eagle, ID, 83616
Fax (208) 302-6255
Enumeration date Jan 30, 2007
Last updated in NPPES Apr 4, 2024

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD155014 (OR) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License M-17694 (ID) Primary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 47273 (WI) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License M-9938 (ID) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
807768800 Medicaid ID -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does David Kelly practice?
The practice location on file with NPPES is in Eagle, ID. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for David Kelly?
The National Provider Identifier (NPI) for David Kelly is 1194862417, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-04.