PHYSICIAN MANAGEMENT SERVICES OF IDAHO, LLC
NPI 1215688346
Family Medicine in Shoshone, ID

Q: What is Physician Management Services Of Idaho, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 11, 2022

113 S APPLE ST, SHOSHONE, ID 83352(888) 829-8550 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Physician Management Services Of Idaho, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIAN MANAGEMENT SERVICES OF IDAHO, LLC (NPI 1215688346) is a healthcare organization registered as a family medicine in Shoshone, Idaho and active in the NPI registry since January 2022. The organization lists Brett Kenefick, President, as its authorized official.

NPPES Registry Identity

NPI1215688346

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePHYSICIAN MANAGEMENT SERVICES OF IDAHO, LLC

Location Address113 S APPLE STShoshone, ID 83352-5287

Mailing Address3113 Lawton RdOrlando, FL 32803-3531 · (888) 829-8550

Phone(888) 829-8550

Organization SubpartYesParent: Vaxcare Corporation

Authorized OfficialBrett KenefickPresident · (888) 829-8550

Enumeration DateJanuary 11, 2022

NPPES CertifiedJanuary 11, 2022

✔ NPI 1215688346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

113 S APPLE ST, Shoshone, ID 83352

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEITH E DAVIS M.D.

Family Medicine