| Mr Kayne K Kishiyama, MD | |
|
1498 Midway Ave, Suite 2, Ammon, ID 83406-4587 | |
| (208) 552-0920 | |
| (208) 529-2564 |
| Full Name | Mr Kayne K Kishiyama |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1498 Midway Ave, Ammon, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568405405 | NPI | - | NPPES |
| 804042400 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M-6638 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kayne K Kishiyama, MD 1498 Midway Ave, Suite 2, Ammon, ID 83406-4587 Ph: (208) 552-0920 | Mr Kayne K Kishiyama, MD 1498 Midway Ave, Suite 2, Ammon, ID 83406-4587 Ph: (208) 552-0920 |
Cristina Sanchez-jaquez, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 203-528-5643 | |
Richard A New, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1498 Midway Ave, Suite 2, Ammon, ID 83406 Phone: 208-552-0920 Fax: 208-529-2564 |