KENNETH HENRY HYATT

CHALLIS, ID
NPI1144312513
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-535)
Enumeration Date2006-09-29
Last Update Date2007-07-08
Business Address
Mr. KENNETH HENRY HYATT PA-C
1 CLINIC ROAD
CHALLIS, ID 83226
Phone number: 208-879-4351
Mailing Address
Mr. KENNETH HENRY HYATT PA-C
4737 GARDEN CREEK ROAD
CHALLIS, ID 83226
Phone number: 208-879-4351