Individual
KYLE JOE GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 E MAIN ST, REXBURG, ID 83440-2048
(208) 359-6900
Mailing address
25 S 7TH W, SAINT ANTHONY, ID 83445-1723
(208) 270-6193
(208) 270-6193
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44547
ID
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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