Individual
MR. KADE DOUGLAS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2001 S WOODRUFF AVE STE 9, IDAHO FALLS, ID 83404-6371
(208) 419-3002
(208) 656-5652
Mailing address
2001 S WOODRUFF AVE STE 9, IDAHO FALLS, ID 83404-6371
(208) 419-3002
(208) 656-5652
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
PA-950
ID
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
PA-950
ID
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
PA-950
ID
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
PA-950
ID
Other
Enumeration date
12/08/2011
Last updated
02/10/2023
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