NPI 1821049784

Yancie John Kidd, AUD

Practitioner Audiologist Rexburg, ID

Practice location

Address: 218 Dividend Dr Suite 2, Rexburg, ID 83440-3556
Phone: (208) 359-2727
Fax: (208) 359-5468
Mailing address: 635 E 2nd N, Saint Anthony, ID 83445-1612

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence AUD-1081 (ID)

Other Audiologist providers in Idaho →

Registry record

NPI: 1821049784
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2006
Record last updated: 30 Mar 2010

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.