Individual
KADEN LYDE FACER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2273 E GALA ST STE 100, MERIDIAN, ID 83642-7289
(208) 898-8999
Mailing address
2273 E GALA ST STE 100, MERIDIAN, ID 83642-7289
(208) 898-8999
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M-17652
ID
Other
Enumeration date
04/08/2020
Last updated
03/25/2025
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