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Search › Idaho › Student in an Organized Health Care Education/Training Program

Kyren Tweedie

NPI 1609748854 · on the registry since 2025 · sole proprietor

Practice

Address
3160 E 17th St Ste 164
Ammon, ID 83406
Phone
(208) 529-1795
Organisation at this address
Optical Illusions Inc
Teton Pharmacy In Ammon
Broulim Supermarkets, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho