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

Kayler Detmer

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760112627

Kayler Detmer is a Student in an Organized Health Care Education/Training Program in Twin Falls, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2022
Specialties on file
2

Practice location Address checks out

775 Pole Line Rd W Ste 105
Twin Falls, ID 83301-5819
Phone: (208) 814-8000
Fax: (208) 733-9402
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 921 S 8th Ave Stop 8253, Pocatello, ID 83209-0002 — (208) 282-4726

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2616 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760112627
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 14, 2022
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023
Mailing address190 E Bannock St, Boise, ID 83712-6241

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