Individual provider · Type 1 NPI

Kathryn Maddux, PA-C

Medical Physician Assistant · Meridian, ID

NPI number 1194430157 Active

Practice location

1618 S Millenium Way Ste 100
Meridian, ID 83642-6457

Call (208) 884-3376 Map

Fax (208) 884-0858

Mailing address

2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X9771131 (ID)

Medical Physician Assistant: Definition to come...

22 other providers at this address

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About NPI 1194430157

Kathryn Maddux, PA-C's National Provider Identifier is 1194430157, issued on Jan 13, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Meridian, ID. The record was last updated on Aug 13, 2026.