P Praxis·MD
● Active Type 1 · Individual

Kevin Matthew Hanks, D.O.

Otolaryngology·Idaho Falls, ID· NPI 1215943295 · Enumerated 2006 · 19 years on NPI
Hanks is 1 of 8 otolaryngology providers in Idaho Falls and 1 of 56 in Idaho.
NPI age
19 years
Enumerated 2006-07-31
Primary specialty
Otolaryngology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-06-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 56 active otolaryngology providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
1582 Elk Creek Drive
Idaho Falls, ID 83404
📞 2085425414fax 2085522708
Mailing address
1582 Elk Creek Drive
Idaho Falls, ID 83404
📞 2085425414fax 2085522708

Specialties

  • Otolaryngology Primary
    An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
    ID license #0-0401 taxonomy 207Y00000X

Identifiers

TypeValueNotes
05 (ID) 80756400

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Provyx · Custom healthcare lists

Need all 56 Otolaryngology providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related