NPI age
19 years
Enumerated 2006-06-14
● Active
Type 1 · Individual
MR. Kayne K Kishiyama, MD
Kishiyama is 1 of 4 psychiatry & neurology providers in Ammon and 1 of 245 in Idaho.
Primary specialty
Psychiatry & Neurology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-04-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 245 active psychiatry & neurology providers in Idaho.
NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
1498 Midway Ave, Suite 2
Ammon, ID 834064587
Mailing address
1498 Midway Ave, Suite 2
Ammon, ID 834064587
Specialties
-
Psychiatry & Neurology PrimaryA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 804042400 |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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