IndividualActive
Kaden Thueson, PA-C
NPI 1679941553 · Surgical Physician Assistant · Lewiston, ID
Provider details
- NPI number
- 1679941553
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA-1272 (ID)
Practice location
320 Warner Dr
Lewiston, ID 83501-4441
Phone: (208) 298-1022
Fax: (208) 746-8741
Mailing address
320 Warner Dr
Lewiston, ID 83501-4441
Registry dates
- Enumerated
- 2015-09-09
- Last updated
- 2016-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.