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Search › Idaho › 390200000X

Brayden Waddoups

NPI 1992662100 · on the registry since 2026 · sole proprietor

Practice

Address
393 E 2nd N
Rexburg, ID 83440
Phone
(208) 359-4840
Fax
(208) 359-9010
Organisation at this address
Kylin Kovac Dpm Pllc
Rexburg Medical Center
Madison Co Memorial Hospital
Madison Co Memorial Hospital
Madison Co Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
53

Additional practice sites

  • 3453 Clearview Ln, Ammon, ID

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Male
Record last updated
2026-01-08

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