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TRAVIS JAY KEMP MD INC NPI 1598107815


NPI Information

NPI: 1598107815
Provider Name: TRAVIS JAY KEMP MD INC
Classification: Orthopaedic Surgery - 207XX0004X
Entity Type: Organization

Specialization: Foot and Ankle Surgery

Address:
7979 W RIFLEMAN ST
BOISE, ID
ZIP 83704
Phone: (208) 855-2410
Get Directions

TRAVIS JAY KEMP MD INC is a foot and ankle surgery orthopaedic surgery in Boise, ID. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. TRAVIS JAY KEMP MD INC NPI is 1598107815. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7979 W RIFLEMAN ST
BOISE, ID
ZIP 83704-066
Phone: (208) 855-2410
Fax: (208) 855-0157

The provider's authorized official is Travis Jay Kemp .
The authorized official title is Ceo/owner and has the following contact phone number (208) 473-0333.

The enumeration date for this NPI number is 7/28/2013 and was last updated on 7/28/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryM-10673IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1808378000MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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