NPI 1750717609

Kyle Hildreth, BA

Practitioner Case Management Agency Idaho Falls, ID

Practice location

Address: 543 3rd St, Idaho Falls, ID 83401-3909
Phone: (208) 522-6925
Fax: (208) 522-6934
Mailing address: 6280 Malory Dr, Idaho Falls, ID 83402-5056

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Idaho →

Registry record

NPI: 1750717609
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Sep 2013
Record last updated: 24 Sep 2013

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.