| Mr Kenneth Henry Hyatt, PA-C | |
|
1 Clinic Road, Challis, ID 83226 | |
| (208) 879-4351 | |
| (208) 879-5216 |
| Full Name | Mr Kenneth Henry Hyatt |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1 Clinic Road, Challis, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144312513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA-535 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Henry Hyatt, PA-C 4737 Garden Creek Road, Challis, ID 83226 Ph: (208) 879-4351 | Mr Kenneth Henry Hyatt, PA-C 1 Clinic Road, Challis, ID 83226 Ph: (208) 879-4351 |
Breeann Marie Petrie, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 431 E. Main St. #994, Challis, ID 83226 Phone: 208-833-1313 Fax: 833-839-1195 | |
Mr. Matthew Chad Banks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 Clinic Rd, Challis, ID 83226 Phone: 208-879-4351 Fax: 208-879-5216 | |
Stephen Max Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 Clinic Road, Challis, ID 83226 Phone: 208-879-4351 Fax: 208-879-5216 | |
Thomas Daniel Fife, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 Clinic Rd, Challis, ID 83226 Phone: 208-879-4351 Fax: 208-879-5216 | |
Miles Alan Haeberle, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 Clinic Rd, Challis, ID 83226 Phone: 208-879-4351 Fax: 208-879-5216 | |
Joseph W Petrie, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 431 E. Main St., #994, Challis, ID 83226 Phone: 208-833-3773 Fax: 833-839-1175 |