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Kaden J Thueson, PA-C
Surgical Physician Assistant in Lewiston, Idaho
NPI 1679941553

Kaden J Thueson is a Surgical Physician Assistant based in Lewiston, ID and is specialized in Surgical. Kaden J Thueson practices in Lewiston, ID and has the professional credentials of PA-C. The NPI Number for Kaden J Thueson is 1679941553 and holds a License No. PA-1272 (Idaho).

The current practice location address for Kaden J Thueson is 320 Warner Dr, Lewiston, ID and can be reached out via phone at 208-298-1022 and via fax at 208-746-8741.

Location: 320 Warner Dr, Lewiston, ID, 83501-4441
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Provider Profile Details
NPI Number
1679941553
Provider Name
Kaden J Thueson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
320 Warner Dr, Lewiston, ID, 83501-4441
Phone Number
208-298-1022
Fax Number
208-746-8741
Provider Enumeration Date
09/09/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1679941553 05 WA
1679941553 05 ID
institution
Provider Business Practice Location Address Details
Address
320 Warner Dr
City
State
Zip
83501-4441
Phone Number
208-298-1022
Fax Number
208-746-8741
person
Provider Business Mailing Address Details
Address
320 Warner Dr
City
State
Zip
83501-4441
Phone Number
208-298-1022
Fax Number
208-746-8741
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA-1272 (Idaho)
Definition
Definition to come...
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