KYREN TWEEDIE - NPI 1609748854 - Student in an Organized Health Care Education/Training Program in Ammon, ID

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Kyren Tweedie NPPES

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

KYREN TWEEDIE (NPI 1609748854) is an individual student in an organized health care education/training program in Ammon, Idaho, licensed in Idaho (I71317) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1609748854

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKYREN TWEEDIE

Location Address3160 E 17TH ST STE 164Ammon, ID 83406-6784

Mailing Address1500 E Venture Way Apt 9206Pocatello, ID 83201-1209 · (208) 716-8547

Phone(208) 529-1795

Sole ProprietorYes

Enumeration DateSeptember 18, 2025

Last NPPES UpdateOctober 24, 2025

NPPES CertifiedSeptember 18, 2025

✔ NPI 1609748854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in ID · I71317

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3160 E 17TH ST STE 164, Ammon, ID 83406

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