| Dr Kenneth E Krell, MD | |
|
2860 Channing Way Ste 221, Idaho Falls, ID 83404-7541 | |
| (208) 535-4000 | |
| Not Available |
| Full Name | Dr Kenneth E Krell |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2860 Channing Way Ste 221, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518016062 | NPI | - | NPPES |
| 000246700 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | M4522 (Idaho) | Secondary |
| 207R00000X | Internal Medicine | M4522 (Idaho) | Primary |
| Entity Name | East Falls Family Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619221405 PECOS PAC ID: 9830334200 Enrollment ID: O20130408000245 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth E Krell, MD Po Box 742337, Atlanta, GA 30374-2337 Ph: () - | Dr Kenneth E Krell, MD 2860 Channing Way Ste 221, Idaho Falls, ID 83404-7541 Ph: (208) 535-4000 |
Dr. Douglas N Whatmore, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3200 Channing Way, Ste 205, Idaho Falls, ID 83404 Phone: 208-535-4300 Fax: 208-535-4315 | |
Janet Lynn Otto, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste 220, Idaho Falls, ID 83404 Phone: 208-800-6155 Fax: 208-800-6158 | |
Jordan Joseph Cormier, PA-C Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2330 Desoto St, Idaho Falls, ID 83404 Phone: 208-552-4909 Fax: 208-522-6101 | |
Dr. Shawn D Speirs, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-227-2575 | |
Mr. Craig D Scoville, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2220 E 25th St, Idaho Falls, ID 83404 Phone: 208-542-9080 Fax: 208-542-9081 | |
Paul A Gerlach, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2985 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-523-3373 Fax: 208-523-8746 | |
Dr. Ned R Warner, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2770 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-522-4000 Fax: 208-528-4254 |