P Praxis·MD
● Active Type 1 · Individual

DR. Kelly Page Palmer, D.O.

Psychiatry & Neurology·Blackfoot, ID· NPI 1184780694 · Enumerated 2006 · 19 years on NPI
Palmer is 1 of 2 psychiatry & neurology providers in Blackfoot and 1 of 28 in Idaho.
NPI age
19 years
Enumerated 2006-12-29
Primary specialty
Psychiatry & Neurology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-08-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 28 active psychiatry & neurology providers in Idaho.

NPI age
19 years
↑ 2 yr above median (16 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
0
42% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
700 East Alice Street
Blackfoot, ID 832210400
📞 2087858517fax 2087858516
Mailing address
Po Box 400, 700 East Alice
Blackfoot, ID 832210400
📞 2087858517fax 2087858516

Specialties

  • Psychiatry & Neurology Primary
    Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
    ID license #O-144 taxonomy 2084P0804X

Identifiers

TypeValueNotes
05 (ID) 003398400
05 (ID) 0033991

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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