Individual
DR. KEVIN G KEMPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
3003 W MAIN ST STE 130, BOISE, ID 83702-2026
(208) 342-7610
(208) 344-1799
Mailing address
3003 W MAIN ST STE 130, BOISE, ID 83702-2026
(208) 342-7610
(208) 344-1799
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D-3407
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805496900
—
ID
05
—
805511300
—
ID
Enumeration date
09/11/2006
Last updated
04/16/2018
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