person
Ryan Blair Killpack, PA-C
Medical Physician Assistant in Blackfoot, Idaho
NPI 1114405396

Ryan Blair Killpack is a Medical Physician Assistant based in Blackfoot, ID and is specialized in Medical. Ryan Blair Killpack practices in Blackfoot, ID and has the professional credentials of PA-C. The NPI Number for Ryan Blair Killpack is 1114405396 and holds a License No. (Idaho).

The current practice location address for Ryan Blair Killpack is 98 Poplar St, Blackfoot, ID and can be reached out via phone at 208-785-4100.

Location: 98 Poplar St, Blackfoot, ID, 83221-1758
person
Provider Profile Details
NPI Number
1114405396
Provider Name
Ryan Blair Killpack
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
98 Poplar St, Blackfoot, ID, 83221-1758
Phone Number
208-785-4100
Fax Number
Provider Enumeration Date
07/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
98 Poplar St
City
State
Zip
83221-1758
Phone Number
208-785-4100
Fax Number
person
Provider Business Mailing Address Details
Address
98 Poplar St
City
State
Zip
83221-1758
Phone Number
208-785-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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