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

Kyle Maruj M De Vera

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275334625

Kyle Maruj M De Vera is a Student in an Organized Health Care Education/Training Program in Idaho Falls, Idaho. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone: (208) 227-2840
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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 number1275334625
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2025
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025
Mailing address3100 Channing Way, Idaho Falls, ID 83404-7533

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