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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KODIE THOMAS

Active

MR. KODIE THOMAS is a Physician Assistant healthcare provider located in EMMETT, Idaho. NPI 1003376559 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · EMMETT, ID

Registration Details

NPI Number
1003376559
Provider Type
Individual
Gender
Male
NPI Issued
Mar 21, 2019 (7.3600282164584 yrs)
Last Updated
Dec 2, 2022
License
9134 (AZ)

Practice Information

Address
2086 PICKET LN
EMMETT, ID, 836179104
Browse ID providers · Browse ZIP 83617
Phone
2083691276
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in EMMETT, ID

Name Credential NPI
MEGAN MARTINSON 1295281541
MS. DESIREE DARLENE REID PA-C 1427558154
RYAN ATWOOD PA-C 1023656782
SARA MARIE WILLIAMS 1588382733
PADEN GONZALES 1477391357
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.