person
Kyle Hollenback
Medical Physician Assistant in Mountain Home, Idaho
NPI 1932574381

Kyle Hollenback is a Medical Physician Assistant based in Glenns Ferry, ID and is specialized in Medical. Kyle Hollenback practices in Mountain Home, ID. The NPI Number for Kyle Hollenback is 1932574381 and holds a License No. 1330 (Idaho).

The current practice location address for Kyle Hollenback is 2280 American Legion Blvd, Mountain Home, ID and can be reached out via phone at 208-587-3988 and via fax at 208-587-3324.

Location: 2280 American Legion Blvd, Mountain Home, ID, 83623-2701
person
Provider Profile Details
NPI Number
1932574381
Provider Name
Kyle Hollenback
Credential
Provider Entity Type
Individual
Gender
Male
Address
2280 American Legion Blvd, Mountain Home, ID, 83623-2701
Phone Number
208-587-3988
Fax Number
208-587-3324
Provider Enumeration Date
12/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2280 American Legion Blvd
City
State
Zip
83647-3142
Phone Number
208-587-3988
Fax Number
208-587-3324
person
Provider Business Mailing Address Details
Address
2280 American Legion Blvd
City
State
Zip
83647-3142
Phone Number
208-587-3988
Fax Number
208-587-3324
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1330 (Idaho)
Definition
Definition to come...
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