Individual
JARED M KAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1151 HOSPITAL WAY BLDG D, POCATELLO, ID 83201-5091
(208) 478-2449
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 782-3763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M12027
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518194580
—
ID
Enumeration date
12/02/2009
Last updated
04/17/2025
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