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

KIMBERLY TENOLD, PA-C

Active

KIMBERLY TENOLD, PA-C is a Medical Physician Assistant healthcare provider located in HAILEY, Idaho. NPI 1144240268 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · HAILEY, ID

Registration Details

NPI Number
1144240268
Provider Type
Individual
Gender
Female
NPI Issued
Jul 20, 2006 (20.046192372503 yrs)
Last Updated
May 11, 2023
Licenses
102487 (NC)
102487 (NC)
PA-2160 (ID)

Practice Information

Address
1450 AVIATION DR STE 203
HAILEY, ID, 833338785
Browse ID providers · Browse ZIP 83333
Phone
2087278295
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in HAILEY, ID

Name Credential NPI
STEFANIE JEAN MAGEE PA 1639403041
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.