Individual
DR. KYLE R. YORGASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1075 N CURTIS RD STE 300, BOISE, ID 83706-1348
(208) 302-3100
(208) 302-3155
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P-255
ID
213E00000X
Podiatrist
SC006038
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
P-255
ID
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006038
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026781600003
—
PA
01
—
12933641
MULTIPLAN
PA
01
—
150016
GEISINGER
PA
01
—
2593319
HIGHMARK BC BS
PA
01
—
50105709
CAPITAL BLUE CROSS
PA
01
—
P01022651
PALMETTO / RAILROAD MEDICARE
PA
Enumeration date
11/25/2008
Last updated
06/10/2025
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