Search › Idaho › 363AM0700X
Kody Tew, PA-C
NPI 1760724744 · on the registry since 2013
Practice
- Address
- 2088 E 25th St
Idaho Falls, ID 83404 - Phone
- (208) 528-7655
- Fax
- (208) 524-9390
- Organisation at this address
- Snake River Human Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-03-18
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