P Praxis·MD
● Active Type 2 · Organization

Kelley Kids Ranch, Llc

Counselor·Lewiston, ID· NPI 1134774680 · Enumerated 2019 · 6 years on NPI
Kelley Kids Ranch, Llc is 1 of 1998 counselor organizations in Idaho.
NPI age
6 years
Enumerated 2019-08-01
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kelley
Owner
Last NPPES update
2019-08-01
Source: monthly bulk 2026-05

How this organization compares

Across 1998 active counselor providers in Idaho.

NPI age
6 years
≈ at median (7 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2019 → 2026

2019-08Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
602 13th St
Lewiston, ID 835012586
📞 2086757350
Mailing address
1607 17th Ave
Lewiston, ID 835014001

Authorized official

Amy T Kelley
Owner
📞 2086757350

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YM0800X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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