Individual
KYLE HAWKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN
Contact information
Practice address
2280 E 25TH ST, IDAHO FALLS, ID 83404-7542
(208) 227-2100
Mailing address
4650 HAWTHORNE RD STE 3B, CHUBBUCK, ID 83202-2376
(208) 252-5621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
3461172
ID
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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