Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Snake River Ear, Nose & Throat PC

Organization Specialist · NPI 1104912740

Snake River Ear, Nose & Throat PC is a Specialist in Twin Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

706 N College Rd Ste C
Twin Falls, ID 83301
Phone: (208) 735-1000
Fax: (208) 732-5345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A89785 (ID)

Record details

NPI number1104912740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rod Kack — Owner · (208) 735-1000
NPI enumeratedOctober 4, 2006
Last updated in NPPESJanuary 15, 2013
Mailing address706 North College Road, Suite C, Twin Falls, ID 83301

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