Kimberly Tenold, PA-C
Kimberly Tenold, PA-C is a Physician Assistant in Hailey, Idaho. Qualified in 1996, 30 years ago. Practices with St Lukes Clinic - Wood River LLC, a 64-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho and North Carolina.
- Years since qualifying
- 30
- Licensed in
- ID, NC
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1450 Aviation Dr Ste 203Hailey, ID 83333-8785
Phone: (208) 727-8295
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA-2160 (ID) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 102487 (NC) |
| Physician Assistant | Taxonomy 363A00000X · Licence 102487 (NC) |
Record details
| NPI number | 1144240268 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 20, 2006 |
| Last updated in NPPES | May 11, 2023 |
| Certification date | May 11, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1996 (30 years in practice) |
| Group practice | St Lukes Clinic - Wood River Llc — 64 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |