KODY GOULD, PA
Physician Assistant
Active
Individual
NPI: 1750046983
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA-2158 (ID) |
Frequently Asked Questions
NPI 1750046983 is the National Provider Identifier for KODY GOULD, PA, a Physician Assistant provider located in Blackfoot, ID. This NPI was enumerated on November 2, 2021.
KODY GOULD, PA practices at 1350 PARKWAY DR, Blackfoot, ID 83221.
Quick Facts
- NPI
- 1750046983
- Type
- Individual
- Enumerated
- Nov 2, 2021
- Last Updated
- Nov 2, 2021
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