Gould, Kody Ray

Gould, Kody Ray is an individual health care provider with primary practice located at 1350 Parkway Dr , Blackfoot ID 83221-1657. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gould, Kody Ray can be contacted via phone (208) 782-2410.

Contact Information

Primary practice address
1350 Parkway Dr Blackfoot ID 83221-1657
Phone: (208) 782-2410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-2158 Idaho

Profile Details

NPI number 1750046983
LBN Legal business name Gould, Kody Ray
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2021
Last updated Nov 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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