NPI age
15 years
Enumerated 2010-10-14
● Active
Type 1 · Individual
Kimberly Sue Kelly
Kelly is 1 of 4 psychologist providers in Idaho Falls and 1 of 12 in Idaho.
Primary specialty
Psychologist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2010-10-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 12 active psychologist providers in Idaho.
NPI age
15 years
↓ 2 yr below median (17 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties
NPI lifetime · 2010 → 2026
2010-10Enumerated in NPPES
2010
2026
Where they practice
Practice location
630 S Woodruff Ave
Idaho Falls, ID 834015299
Mailing address
630 S Woodruff Ave
Idaho Falls, ID 834015299
Specialties
-
Psychologist PrimaryA psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive,...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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