NPI 1003376559

Kodie Thomas

Practitioner Physician Assistant Emmett, ID

Practice location

Address: 2086 Picket Ln, Emmett, ID 83617-9104
Phone: (208) 369-1276

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 9134 (AZ)

Other Physician Assistant providers in Idaho →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI: 1003376559
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2019
Record last updated: 2 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.