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Search › Idaho › 364SP0808X

Kade Anderson, P.A

NPI 1699043315 · on the registry since 2011

Practice

Address
2001 S Woodruff Ave Ste 9
Idaho Falls, ID 83404
Phone
(208) 419-3002
Fax
(208) 656-5652
Organisation at this address
Club, Inc.
Ascend Llc
Michele Osmond
Suzanne Godfrey
Neurofeedback Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
48

Registry record

Primary taxonomy
364SP0808X
364SP0808X
Also registered as
363A00000X
363AM0700X
364SP0807X
364SP0809X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-02-10

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