Kyle Hollenback
Kyle Hollenback is a Physician Assistant in Mountain Home, Idaho. Qualified in 2015, 11 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 11
- Licensed in
- ID
- In the registry since
- 2015
Practice location Address checks out
2280 American Legion BlvdMountain Home, ID 83647-3142
Phone: (208) 587-3988
Fax: (208) 587-3324
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 486 W 1st Ave, Glenns Ferry, ID 83623-2701 — (208) 366-7416
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 1330 (ID) |
|---|
Record details
| NPI number | 1932574381 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 10, 2015 |
| Last updated in NPPES | February 19, 2020 |
| Certification date | February 19, 2020 |
| Mailing address | 486 W 1st Ave, Glenns Ferry, ID 83623-2701 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Ihc Health Services Inc — 3947 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Mountain Home
-
Mr. Dirk Kenneth Baskett, PA-C
840 N 4th E, Mountain Home, ID 83647-2166 · (208) 587-1850
-
Mr. Delmar Wallace Smith, PA
2000 American Legion Blvd, Mountain Home, ID 83647-3138 · (208) 587-1500