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KYLE PHILLIP DIETRICH PA STUDENT
NPI 1932661352
Student in an Organized Health Care Education/Training Program in Pocatello, ID

Active since April 03, 2019
921 S 8TH AVE STOP 8253, POCATELLO, ID 83209(208) 282-4726 Get Directions Write a Review

NPPES record last updated: May 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2024, Apr 3, 2019 (2 updates tracked since 2019).

About Kyle Phillip Dietrich Pa Student NPPES

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

KYLE PHILLIP DIETRICH PA STUDENT (NPI 1932661352) is an individual student in an organized health care education/training program in Pocatello, Idaho and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1932661352
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKYLE PHILLIP DIETRICHCredential: PA STUDENT
Location Address921 S 8TH AVE STOP 8253Pocatello, ID 83209-0002
Mailing Address921 S 8th Ave Stop 8253Pocatello, ID 83209-0002 · (208) 282-4726
Phone(208) 282-4726
Sole ProprietorNo
Enumeration DateApril 3, 2019
Last NPPES UpdateMay 5, 20242 updates tracked since enumeration
NPPES CertifiedMay 5, 2024
✔ NPI 1932661352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
Also ListedMassage TherapistTaxonomy 225700000X · License LMT-LMT-LIC-15881 (MT)
921 S 8TH AVE STOP 8253, Pocatello, ID 83209
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Other Providers at the Same Location NPPES 20

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

HAO YAN
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Bannock County (208) 282-4726
MICHAEL BRIGGS
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Bannock County (208) 282-4726
KYLEE PEREZ
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Bannock County (208) 282-4726
MORGAN ELIZABETH MURRAY
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Bannock County (208) 282-4726
MADISON MONET RADASCH
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Bannock County (208) 282-4726
JASMINE ASHFORD
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Bannock County (208) 282-4726
JOSEPH SOREN ANDERSEN
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Bannock County (208) 282-4726
ANNA JEWEL LAUX
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209
Bannock County (208) 282-4726

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 Kyle Dietrich's NPI number?

The NPI number for Kyle Dietrich is 1932661352. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Kyle Dietrich located?

Kyle Dietrich practices at 921 S 8th Ave Stop 8253, Pocatello, ID 83209. The listed phone number is (208) 282-4726.

What is Kyle Dietrich's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kyle Dietrich was last updated on May 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.