Whalio Doctors

NPI 1033261458

Brent D. Kooy, PA

Practitioner Medical Physician Assistant Meridian, ID

Practice location

Address
3015 E Magic View Dr, Meridian, ID 83642
Phone
(208) 482-5550
Fax
(208) 482-5555

Registered specialties (4)

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA-2774 (ID)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA10004744 (WA)
Surgical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA-2774 (ID)
Surgical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA10004744 (WA)

Registry record

NPI
1033261458
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Jan 2007
Record last updated
22 Apr 2026

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.