Individual provider · Type 1 NPI

Jakob Kinsey, PA

Medical Physician Assistant · Pocatello, ID

NPI number 1184299000 Active

Practice location

777 Hospital Way Ste 201
Pocatello, ID 83201-5175

Call (208) 239-2620 Map

Fax (208) 239-3778

Mailing address

PO Box 4168
Pocatello, ID 83205-4168

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X6881228 (ID)

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1184299000

Jakob Kinsey, PA's National Provider Identifier is 1184299000, issued on May 24, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pocatello, ID. The record was last updated on Oct 28, 2026.