Individual provider · Type 1 NPI
Kyren Tweedie
Student in an Organized Health Care Education/Training Program · Ammon, ID
NPI number
1609748854
Active
Practice location
3160 E 17th St Ste 164
Ammon, ID 83406-6784
Mailing address
1500 E Venture Way Apt 9206
Pocatello, ID 83201-1209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | I71317 (ID) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5 other providers at this address
- Broulim Supermarkets, LLCCommunity/Retail Pharmacy Ammon, ID NPI 1851854095
- Teton Pharmacy In AmmonCommunity/Retail Pharmacy Ammon, ID NPI 1831561034
- Jacee Clark, PharmDPharmacist Ammon, ID NPI 1043937741
- Jared K. Lyon, PHARMD., RPHPharmacist Ammon, ID NPI 1912304049
- Joseph Michael Brown, PharmDPharmacist Ammon, ID NPI 1346417003
About NPI 1609748854
Kyren Tweedie's National Provider Identifier is 1609748854, issued on Sep 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ammon, ID. The record was last updated on Oct 24, 2025.