Individual
JASON A KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 N 2ND ST, SUITE 202, BOISE, ID 83702-6109
(208) 381-6390
(208) 381-6395
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
13213
NH
208600000X
Surgery Physician
Primary
M10940
ID
Other
Enumeration date
08/30/2006
Last updated
08/28/2013
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