| Kyle Hollenback, | |
|
2280 American Legion Blvd, Mountain Home, ID 83647-3142 | |
| (208) 587-3988 | |
| (208) 587-3324 |
| Full Name | Kyle Hollenback |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 2280 American Legion Blvd, Mountain Home, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932574381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1330 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Logan Regional Hospital | Logan, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Hollenback, 486 W 1st Ave, Glenns Ferry, ID 83623-2701 Ph: () - | Kyle Hollenback, 2280 American Legion Blvd, Mountain Home, ID 83647-3142 Ph: (208) 587-3988 |
Ms. Malinda Paige Westendorf, Physician Assistant Medicare: Medicare Enrolled Practice Location: 465 Mckenna Dr, Mountain Home, ID 83647 Phone: 208-587-9703 | |
Wendy Diane Loumeau, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 120 Desert Sage Way, Mountain Home, ID 83647 Phone: 208-587-3988 Fax: 208-587-3324 | |
Whitney Ann Roberts, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 465 Mckenna Dr, Mountain Home, ID 83647 Phone: 208-580-2689 Fax: 208-580-9002 | |
Mr. Delmar Wallace Smith, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-587-1500 Fax: 208-587-3180 | |
Mrs. Carin Melissa Howard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 805 N 6th E, Mountain Home, ID 83647 Phone: 208-587-2450 | |
Javlyn Dickson Weaver, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 895 N 6th E, Mountain Home, ID 83647 Phone: 208-587-8401 | |
Scott K M Knudsen, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 120 Desert Sage Way, Mountain Home, ID 83647 Phone: 208-587-3988 Fax: 208-587-3324 |