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Kody Ray Gould, PA
Physician Assistant in Blackfoot, Idaho
NPI 1750046983

Kody Ray Gould is a Physician Assistant based in Pocatello, ID. Kody Ray Gould practices in Blackfoot, ID and has the professional credentials of PA. The NPI Number for Kody Ray Gould is 1750046983 and holds a License No. PA-2158 (Idaho).

The current practice location address for Kody Ray Gould is 1350 Parkway Dr, Blackfoot, ID and can be reached out via phone at 208-782-2410.

Location: 1350 Parkway Dr, Blackfoot, ID, 83201-6874
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750046983
Provider Name
Kody Ray Gould
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1350 Parkway Dr, Blackfoot, ID, 83201-6874
Phone Number
208-782-2410
Fax Number
Provider Enumeration Date
11/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1350 Parkway Dr
City
Blackfoot
State
Idaho
Zip
83221-1657
Phone Number
208-782-2410
Fax Number
person
Provider Business Mailing Address Details
Address
1350 Parkway Dr
City
Blackfoot
State
Idaho
Zip
83221-1657
Phone Number
208-782-2410
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA-2158 (Idaho)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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