Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KODY RAY GOULD, PA
ActiveKODY RAY GOULD, PA is a Physician Assistant healthcare provider located in BLACKFOOT, Idaho. NPI 1750046983 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BLACKFOOT, ID
Registration Details
- NPI Number
- 1750046983
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2021 (4.5936418911797 yrs)
- Last Updated
- Nov 2, 2021
- License
-
PA-2158 (ID)
Practice Information
- Address
-
1350 PARKWAY DRBLACKFOOT, ID, 832211657Browse ID providers · Browse ZIP 83221
- Phone
- 2087822410
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BLACKFOOT, ID
| Name | Credential | NPI |
|---|---|---|
| DEBRA ERRAMOUSPE | PA | 1144264532 |
| RHONDA GRANDEE | PA | 1184668139 |
| HEATHER FAYE GRIMMETT | PA | 1073792586 |
| SHAWNA MARIE REYNOLDS | PA | 1023260783 |
| ASHLEY NICHOLE THOMAS | PA-C | 1740590314 |
| JULIA MCGEE | PA-C | 1326347972 |
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.