Individual ProviderKyle BlevinsChiropractorChiropractic ProvidersPractice Address405 S 8th St Ste 290, Boise, ID 83702-7100(208) 342-7136PECOS EnrollmentBased on the most recent information from CMS, provider Kyle Blevins does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1023444270Provider TypeIndividualFull NameBlevins, KyleCredentialD.C.GenderMaleSole ProprietorNoEnumeration Date9/19/2013Last Updated9/19/2013Contact InformationPractice LocationPractice Address405 S 8th St Ste 290, Boise, ID 83702-7100Phone(208) 342-7136FaxUnlisted FaxMailing LocationMailing Address405 S 8th St Ste 290, Boise, ID 83702-7100Phone(208) 342-7136FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA-1560Idaho