Kelly Wilkinson (NPI# 1245522036, PAC ID# 3274757075) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1245522036 |
| PAC ID by PECOS | 3274757075 |
| Professional Enrollment ID | I20150901002007 |
| Full Name | Kelly Wilkinson |
| Organization Legal Name | ALLIANCE MEDICAL GROUP LLC |
| Address |
6052 W State St Boise ID 83703-2739 |
| Phone Number | 2089471947 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 3971544685 |
| Number of Group Practice Members | 106 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6052 W State St, Boise, ID 83703-2739 | 2089471947 | ALLIANCE MEDICAL GROUP LLC |
| 777 N Raymond St, Boise, ID 83704-9251 | 2085142500 | THE FAMILY MEDICINE RESIDENCY OF IDAHO INC |
| Organization Legal Name | ALLIANCE MEDICAL GROUP LLC |
| Physicians | 116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thiago D Alberto | Nurse Practitioner | Alliance Medical Group LLC | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 |
| Ryan Anthony Baugher | Family Medicine | Alliance Medical Group LLC | 6052 W State St, Boise, ID 83703-2739 |
| Kelsey Martin | Nurse Practitioner | Alliance Medical Group LLC | 3280 E Lanark Dr, Meridian, ID 83642-5982 |
| Nicole Augusta Lafleur | Family Medicine | Alliance Medical Group LLC | 1375 N Happy Valley Rd, Nampa, ID 83687-5280 |
| Alishia Cairl | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Jedd D Moore | Nurse Practitioner | Alliance Medical Group LLC | 4971 W Overland Rd, Boise, ID 83705-2822 |
| Kelly Moore | Nurse Practitioner | Alliance Medical Group LLC | 1648 Nw 1st St, Meridian, ID 83642-2212 |
| Trent B Giles | Family Medicine | Alliance Medical Group LLC | 700 Caldwell Blvd, Nampa, ID 83651-1707 |
| Michael Vincen-brown | Physician Assistant | Alliance Medical Group LLC | 435 S Eagle Rd, Eagle, ID 83616-6067 |
| Steven Barnum | Nurse Practitioner | Alliance Medical Group LLC | 1115 12th Ave Rd, Nampa, ID 83686-5738 |
| Street Address |
6052 W STATE ST |
| City | BOISE |
| State | ID |
| Zip | 83703-2739 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Anthony Baugher | Family Medicine | Alliance Medical Group LLC | 6052 W State St, Boise, ID 83703-2739 |
| Bruce L Belzer | Family Medicine | Alliance Medical Group LLC | 6052 W State St, Boise, ID 83703-2739 |
| Mary E. Nagle | Family Medicine | Alliance Medical Group LLC | 6052 W State St, Boise, ID 83703-2739 |
| Brian C Cey | Nurse Practitioner | Alliance Medical Group LLC | 6052 W State St, Boise, ID 83703-2739 |
| Matt Mors | Otolaryngology | Alliance Medical Group LLC | 6052 W State St, Boise, ID 83703-2739 |
| Matthew M Bender | Dermatology | Alliance Medical Group LLC | 6052 W State St, Boise, ID 83703-2739 |
| Martin R Tubach | Otolaryngology | Alliance Medical Group LLC | 6052 W State St, Boise, ID 83703-2739 |
| Travis W Robbins | Nurse Practitioner | Alliance Medical Group LLC | 6052 W State St, Boise, ID 83703-2739 |
| Stephen C Martinez | Family Practice | Alliance Medical Group LLC | 6052 W State St, Boise, ID 83703-2739 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne Buchanan | Clinical Social Worker | 6126 W State St, Suite 310, Boise, ID 83703-2741 | |
| Sebastian Thomas Saur | Physical Therapy | Physical Therapy 180 LLC | 5909 W State St, Boise, ID 83703-3039 |
| Honor H Harris | Clinical Social Worker | Dwyer and Harrington, Pllc | 5985 W State St, Boise, ID 83703-3039 |
| Janet E Mitchell | Physician Assistant | Dwyer and Harrington, Pllc | 5985 W State St, Boise, ID 83703-3039 |
| Christopher M Gakwa | Nurse Practitioner | Dwyer and Harrington, Pllc | 5985 W State St, Boise, ID 83703-3039 |
| Janet C Strong | Nurse Practitioner | Dwyer and Harrington, Pllc | 5985 W State St, Boise, ID 83703-3039 |
| Zana Delic | Physician Assistant | Dwyer and Harrington, Pllc | 5985 W State St, Boise, ID 83703-3039 |
| Jeffrey L Johnson | Physician Assistant | Dwyer and Harrington, Pllc | 5985 W State St, Boise, ID 83703-3039 |
| James Clifford Selle | Clinical Social Worker | Dwyer and Harrington, Pllc | 5985 W State St, Boise, ID 83703-3039 |
| Shawna L Kuehne | Nurse Practitioner | Dwyer and Harrington, Pllc | 5985 W State St, Boise, ID 83703-3039 |
| Find all physicians in zip 83703 | |||
| City | BOISE |
| Zip Code | 83703 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BOISE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kelly Wilkinson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.