KINGHORN HEALTH AND WELLNESS INC
NPI 1639772049
Nurse Practitioner - Primary Care in Idaho Falls, ID

Active since November 18, 2020
2001 S WOODRUFF AVE STE 20, IDAHO FALLS, ID 83404(208) 970-2355 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 26, 2021, Jan 16, 2021, Dec 7, 2020 and 1 more (4 updates tracked since 2020).

About Kinghorn Health And Wellness Inc NPPES

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

KINGHORN HEALTH AND WELLNESS INC (NPI 1639772049) is a healthcare organization registered as a primary care in Idaho Falls, Idaho and active in the NPI registry since November 2020. The organization lists Matthew S Kinghorn, President, as its authorized official.

NPPES Registry Identity

NPI1639772049
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameKINGHORN HEALTH AND WELLNESS INC
Location Address2001 S WOODRUFF AVE STE 20Idaho Falls, ID 83404-6373
Mailing Address2001 S Woodruff Ave Ste 20Idaho Falls, ID 83404-6373 · (208) 970-2355
Organization SubpartNo
Authorized OfficialMatthew S KinghornPresident · (208) 520-9336
Enumeration DateNovember 18, 2020
Last NPPES UpdateMarch 26, 20214 updates tracked since enumeration
NPPES CertifiedMarch 26, 2021
NPI 1639772049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
2001 S WOODRUFF AVE STE 20, Idaho Falls, ID 83404

Other Identifiers 1

OtherAPRN-62114ID · State

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

Other Providers at the Same Location NPPES

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

Internal Medicine (Interventional Cardiology)
2001 S WOODRUFF AVE STE 20
IDAHO FALLS, ID 83404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kinghorn Health And Wellness Inc's NPI number?

The NPI number for Kinghorn Health And Wellness Inc is 1639772049. It was assigned to this organization in the NPPES registry on November 18, 2020.

Where is Kinghorn Health And Wellness Inc located?

Kinghorn Health And Wellness Inc is located at 2001 S Woodruff Ave Ste 20, Idaho Falls, ID 83404. The listed phone number is (208) 970-2355.

What is Kinghorn Health And Wellness Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Kinghorn Health And Wellness Inc was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.