P Praxis·MD
● Active Type 1 · Individual

Kelly C Phelps, MD

Family Medicine·Salmon, ID· NPI 1831270073 · Enumerated 2006 · 19 years on NPI
Phelps is 1 of 6 family medicine providers in Salmon and 1 of 1691 in Idaho.
NPI age
19 years
Enumerated 2006-10-17
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-02-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1691 active family medicine providers in Idaho.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
203 S Daisy St
Salmon, ID 834670000
📞 2087565600fax 2087564169
Mailing address
203 S Daisy St
Salmon, ID 834670000
📞 2087565600fax 2087564169

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    ID license #M5808 taxonomy 207Q00000X
  • Emergency Medicine
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    ID license #M-5808 taxonomy 207P00000X

Identifiers

TypeValueNotes
05 (ID) 004220800

Practice context

Part of a multi-provider practice. 18 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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