Individual provider · Type 1 NPI

Kovic Shane Bailey, DO

Family Medicine Physician · Twin Falls, ID

NPI number 1194467688 Active

Practice location

775 Pole Line Rd W
Twin Falls, ID 83301-5814

Call (208) 814-8000 Map

Fax (208) 733-9402

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 11937 US Highway 271, Tyler, TX 75708-3154 · (903) 877-7777

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XBP10080618 (TX)
Family Medicine Physician Primary 207Q00000X7771540 (ID)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

60 other providers at this address

Other family medicine physician providers in Twin Falls

See all in Twin Falls →

About NPI 1194467688

Kovic Shane Bailey, DO's National Provider Identifier is 1194467688, issued on Apr 13, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Twin Falls, ID. The record was last updated on Jun 27, 2025.