P Praxis·MD
● Active Type 1 · Individual

Kylee Shaw, PA

Physician Assistant·Twin Falls, ID· NPI 1225518509 · Enumerated 2018 · 7 years on NPI
Shaw is 1 of 16 physician assistant providers in Twin Falls and 1 of 387 in Idaho.
NPI age
7 years
Enumerated 2018-08-16
Primary specialty
Physician Assistant
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2023-08-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 387 active physician assistant providers in Idaho.

NPI age
7 years
↓ 8 yr below median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-08Enumerated in NPPES
2018 2026

Where they practice

Practice location
1411 Falls Ave E Ste 1002
Twin Falls, ID 833013459
📞 2085955424
Mailing address
147 W Chubbuck Rd
Chubbuck, ID 832022314
📞 2082387546fax 2082379643

Additional practice locations

1 secondary location on file with NPPES.

Location 2
895 Adams Blvd
Boulder City, NV 890052235
📞 7022930406fax 7022930192

Specialties

  • Physician Assistant Primary
    Definition to come...
    taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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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.

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