Organization Active NPI

Kaylor Family Medicine PLLC

  • Primary Care Clinic/Center
  • Meridian, ID
National Provider Identifier
1891355392
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KAYLOR FAMILY MEDICINE PLLC
Practice address
2536 N Stokesberry PL
Meridian, ID 83646-1144
Phone
(208) 949-8642
NPI assigned
Jun 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Candice Kay Kaylor
Title
Office Manager
Phone
(208) 921-8572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2536 N Stokesberry PL
Meridian, ID 83646-1144

Mailing address

2536 N Stokesberry PL
Meridian, ID 83646-1144
Phone (208) 949-8642

National Provider Directory

National Provider Directory

Locations

2536 N Stokesberry Pl
Meridian, ID 83646
Phone (208) 855-0880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1891355392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 N STOKESBERRY PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461144",
            "telephone_number": "208-949-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 N STOKESBERRY PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461144",
            "telephone_number": "208-949-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYLOR FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "KAYLOR",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-921-8572"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.