Kody Tew, PA-C

Individual Active
NPI 1760724744
Medical Physician Assistant Idaho Falls, ID

NPI 1760724744 belongs to Kody Tew, PA-C, a medical physician assistant with a practice location in Idaho Falls, ID. The NPI was issued on March 18, 2013, and the record was last updated in NPPES on March 18, 2013.

This record hasn't been updated in NPPES since 2013. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA-1057 (ID)

Practice location

2088 E 25th St
Idaho Falls, ID 83404-6490
Phone: (208) 528-7655

Local context

Active NPPES records list 53 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 46 of them within 10 miles.

The same primary taxonomy is listed by 400 in Idaho and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Kody Kurtis Tew
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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