Active NPI
Kenneth E Krell MD PA
- Critical Care Medicine (Internal Medicine) Physician
- Idaho Falls, ID
National Provider Identifier
1326412644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- Legal business name
- KENNETH E KRELL MD PA
- Practice address
- 3100 Channing Way
Idaho Falls, ID 83404-7533 - Phone
- (208) 227-2000
- NPI assigned
- Nov 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth Krell, MD
- Title
- Manager
- Phone
- (208) 313-5755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | Primary |
Addresses
Primary practice location
3100 Channing Way
Idaho Falls, ID 83404-7533
Mailing address
7711 S 1St E
Idaho Falls, ID 83404-7731
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448323200000",
"number": "1326412644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7711 S 1ST E",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 CHANNING WAY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047533",
"telephone_number": "208-227-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH E KRELL MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-24",
"last_updated": "2015-11-24",
"status": "A",
"authorized_official_last_name": "KRELL",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "208-313-5755",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.