Tew, Kody Kurtis

Tew, Kody Kurtis is an individual health care provider with primary practice located at 2088 E 25Th St , Idaho Falls ID 83404-6490. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Tew, Kody Kurtis can be contacted via phone (208) 528-7655.

Contact Information

Primary practice address
2088 E 25Th St Idaho Falls ID 83404-6490
Phone: (208) 528-7655
Fax: (208) 524-9390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-1057 Idaho

Profile Details

NPI number 1760724744
LBN Legal business name Tew, Kody Kurtis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2013
Last updated Mar 18th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers