Individual
KYLE KAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.N., L.D.
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-7380
Mailing address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-7380
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-829
ID
Other
Enumeration date
12/09/2014
Last updated
05/10/2016
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