DR. JOHN KODATT, MD

Family Medicine

Active Individual
NPI: 1083354039

Practice Address

1510 12TH AVE RD STE 200
Nampa, ID 83686

Phone: (208) 302-6800

Specialties

Specialty Code Primary License
Emergency Medicine 207P00000X No R6281 (KY)
Family Medicine 207Q00000X Yes 2171959 (ID)
Student in an Organized Health Care Education/Training Program 390200000X No -

Frequently Asked Questions

NPI 1083354039 is the National Provider Identifier for DR. JOHN KODATT, MD, a Family Medicine provider located in Nampa, ID. This NPI was enumerated on March 29, 2022.
DR. JOHN KODATT, MD practices at 1510 12TH AVE RD STE 200, Nampa, ID 83686.

Quick Facts

NPI
1083354039
Type
Individual
Enumerated
Mar 29, 2022
Last Updated
Sep 18, 2025

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