NPI 1629651666

Scott K M Knudsen, PA

Practitioner Physician Assistant Mountain Home, ID

Practice location

Address: 120 Desert Sage Way, Mountain Home, ID 83647-1038
Phone: (208) 587-3988
Fax: (208) 587-3324

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-2589 (ID)

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Registry record

NPI: 1629651666
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2021
Record last updated: 25 Apr 2024

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.