# TRAVIS JAY KEMP MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598107815
- **Authorized official:** DR. TRAVIS JAY KEMP MD (CEO/OWNER)
- **Authorized official phone:** (208) 473-0333

## Contact information

- **Practice address:** 7979 W RIFLEMAN ST, BOISE, ID 83704-9066
- **Practice address phone:** (208) 855-2410
- **Practice address fax:** (208) 855-0157
- **Mailing address:** 7979 W RIFLEMAN ST, BOISE, ID 83704-9066
- **Mailing address phone:** (208) 855-2410
- **Mailing address fax:** (208) 855-0157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | M-10673 | ID | Yes |

## Other

- **Enumeration date:** 07/28/2013
- **Last updated:** 07/28/2013