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

Cody Kay Kirkham, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770313942

Cody Kay Kirkham, PA is a Student in an Organized Health Care Education/Training Program in Pocatello, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

921 S 8th Ave Stop 8253
Pocatello, ID 83209-5088
Phone: (208) 282-4726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1770313942
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 3, 2024
Last updated in NPPESAugust 3, 2024
Certification dateAugust 2, 2024

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