KELLY DUSTIN, DO
Family Medicine
Active
Individual
NPI: 1114957362
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | O-0459 (ID) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | MR0875 (ID) |
Frequently Asked Questions
NPI 1114957362 is the National Provider Identifier for KELLY DUSTIN, DO, a Family Medicine provider located in Rexburg, ID. This NPI was enumerated on July 4, 2006.
KELLY DUSTIN, DO practices at 21 WINN DR, Rexburg, ID 83440.
Quick Facts
- NPI
- 1114957362
- Type
- Individual
- Enumerated
- Jul 4, 2006
- Last Updated
- Nov 19, 2019
Nearby Providers
-
DR. MICHAEL LARSON, MD
Orthopaedic Surgery
-
DR. KEVIN LEE, M.D.
Orthopaedic Surgery
-
BRUCE BARTON, M.D.
Obstetrics & Gynecology
-
IDAHO DEPT OF HEALTH & WELFARE REGION 7 AMH PSR REXBURG
Clinic/Center - Mental Health (Including Community Mental Health Center)
-
MS. JANELL CLEMENT, LCSW
Social Worker - Clinical