Healthcare Provider Details

I. General information

NPI: 1013907567
Provider Name (Legal Business Name): KALOB J. PARSONS AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 E 17TH ST STE 170
AMMON ID
83406-6784
US

IV. Provider business mailing address

1753 W BROADWAY ST
IDAHO FALLS ID
83402-3045
US

V. Phone/Fax

Practice location:
  • Phone: 208-944-4022
  • Fax: 208-522-5005
Mailing address:
  • Phone: 208-524-4445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD-1118
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberHA-1033
License Number StateID
# 4
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number5341414-4101
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: