Individual
KADE SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
267 N CANYON DR, MEDICAL PLAZA, GOODING, ID 83330-5500
(208) 934-4446
(208) 934-4442
Mailing address
267 N CANYON DR, MEDICAL PLAZA, GOODING, ID 83330-5500
(208) 934-4446
(208) 934-4442
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1316
ID
Other
Enumeration date
10/21/2015
Last updated
07/29/2019
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