Individual provider · Type 1 NPI
Kody Kurtis Tew, PA-C
Medical Physician Assistant · Idaho Falls, ID
NPI number
1760724744
Active
Practice location
2088 E 25th St
Idaho Falls, ID 83404-6490
Fax (208) 524-9390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA-1057 (ID) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
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- Tara Powell, PA-CMedical Physician Assistant Idaho Falls, ID NPI 1093103699
- Randall James Law, PA-CMedical Physician Assistant Idaho Falls, ID NPI 1134647019
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About NPI 1760724744
Kody Kurtis Tew, PA-C's National Provider Identifier is 1760724744, issued on Mar 18, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Mar 18, 2013.