Individual
KYLE RONALD GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
520 S EAGLE RD STE 3211, MERIDIAN, ID 83642-6356
(208) 706-5930
(208) 706-5942
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-775
ID
Other
Enumeration date
08/10/2007
Last updated
10/07/2025
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