Individual provider · Type 1 NPI

Michael Kenneth Wucinich, PA-C

Medical Physician Assistant · Twin Falls, ID

NPI number 1407223274 Active

Practice location

118 9th Ave N
Twin Falls, ID 83301-6352

Call (208) 537-7800 Map

Mailing address

585 Washington St N
Twin Falls, ID 83301-3802

Other practice locations

  • 585 Washington St N, Twin Falls, ID 83301-3802 · (208) 210-4325

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XPA-1274 (ID)
Medical Physician Assistant Primary 363AM0700X1274 (ID)

Medical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1407223274

Michael Kenneth Wucinich, PA-C's National Provider Identifier is 1407223274, issued on Aug 28, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Twin Falls, ID. The record was last updated on Jun 8, 2026.