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

Kirk D Prodzinski, DO

Individual provider Family Medicine Physician · NPI 1245206648

Kirk D Prodzinski, DO is a Family Medicine Physician in Emmett, Idaho. Licensed in Iowa, Idaho, Minnesota and Wisconsin. Registered with an NPI since 2006.

Licensed in
IA, ID, MN, WI
In the registry since
2006
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

207 E 12th St
Emmett, ID 83617-3626
Phone: (208) 365-1065
Fax: (208) 365-1068
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-0600 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 41285 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 42041 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 04555 (IA)

Record details

NPI number1245206648
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024
Mailing address1441 Ne 10th Ave, Payette, ID 83661-5420

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