Individual provider · Type 1 NPI
Kimberly Tenold, PA-C
Medical Physician Assistant · Hailey, ID
NPI number
1144240268
Active
Practice location
1450 Aviation Dr Ste 203
Hailey, ID 83333-8785
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 102487 (NC) |
| Physician Assistant | 363A00000X | 102487 (NC) |
| Medical Physician Assistant Primary | 363AM0700X | PA-2160 (ID) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Hailey
About NPI 1144240268
Kimberly Tenold, PA-C's National Provider Identifier is 1144240268, issued on Jul 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hailey, ID. The record was last updated on May 11, 2023.