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

Kyren Tweedie

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609748854

Kyren Tweedie is a Student in an Organized Health Care Education/Training Program in Ammon, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2025
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Practice location Address checks out

3160 E 17th St Ste 164
Ammon, ID 83406-6784
Phone: (208) 529-1795
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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 · Licence I71317 (ID)

Record details

NPI number1609748854
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 18, 2025
Last updated in NPPESOctober 24, 2025
Certification dateSeptember 18, 2025
Mailing address1500 E Venture Way Apt 9206, Pocatello, ID 83201-1209