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Kody Gould, PA
NPI 1750046983 · on the registry since 2021
Practice
- Address
- 1350 Parkway Dr
Blackfoot, ID 83221 - Phone
- (208) 782-2410
- Organisation at this address
- Bmh Inc
Valley Medical Shoppe IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-02
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