Mark Kelly McKain, MD
Individual provider Active NPI Surgery Physician · Twin Falls, ID
NPI 1801907324 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801907324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- M6053 (ID)
- Practice address
- 253 Martin Street
Twin Falls, ID 83301-4532 - Phone
- (208) 733-0482
- Fax
- (208) 734-0263
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6053 | ID | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | M6053 | ID | Yes |
Addresses
Primary practice location
253 Martin Street
Twin Falls, ID 83301-4532
Mailing address
253 Martin Street
Twin Falls, ID 83301-4532
Phone (208) 733-0482
Other providers in Twin Falls, ID
- Teresa McFarland
- Christine Michelle McFarlin
- Ronald E McGarrigle
- Heather McGuire
- Jennifer McIntosh
- McKay D. Barlow DDS PC
- Rohn Tyler McKee
- Sarah B McKee
- Victoria D. McKinney
- Sean Eric McMillan
All providers in Twin Falls, ID · Surgery Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.