Individual provider · Type 1 NPI

Kayce N. Gardner, PA-C

Medical Physician Assistant · Pocatello, ID

NPI number 1346056686 Active

Practice location

777 Hospital Way, Suite 201
Pocatello, ID 83201-5175

Call (208) 239-2620 Map

Fax (208) 239-3778

Mailing address

P.o. Box 4168
Pocatello, ID 83205-4168

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X9171784 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1346056686

Kayce N. Gardner, PA-C's National Provider Identifier is 1346056686, issued on Dec 10, 2024. 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 16, 2025.