Whalio Doctors

NPI 1144240268

Kimberly Tenold, PAC

Practitioner Medical Physician Assistant Hailey, ID

Practice location

Address
1450 Aviation Dr STE 203, Hailey, ID 83333-8785
Phone
(208) 727-8295
Mailing address
190 E Bannock St, Boise, ID 83712-6241

Registered specialties (3)

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA-2160 (ID)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 102487 (NC)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 102487 (NC)

Registry record

NPI
1144240268
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Jul 2006
Record last updated
11 May 2023

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.