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

Kylee Shaw, PA

Individual provider Medical Physician Assistant · NPI 1225518509

Kylee Shaw, PA is a Physician Assistant in Twin Falls, Idaho. Qualified in 2018, 8 years ago. Practices with Idaho Skin Institute LLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1411 Falls Ave E Ste 1002
Twin Falls, ID 83301-3459
Phone: (208) 595-5424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 895 Adams Blvd, Boulder City, NV 89005-2235 — (702) 293-0406

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1225518509
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 16, 2018
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023
Mailing address147 W Chubbuck Rd, Chubbuck, ID 83202-2314

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Idaho Skin Institute Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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