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Search › Idaho › Medical Physician Assistant

Kyle Hollenback

NPI 1932574381 · on the registry since 2015

Practice

Address
2280 American Legion Blvd
Mountain Home, ID 83647
Phone
(208) 587-3988
Fax
(208) 587-3324
Clinicians at this address
15

Additional practice sites

  • 486 W 1st Ave, Glenns Ferry, ID

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-02-19

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