Individual
DR. KEVIN A CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 W HAYS ST, SUITE 6, BOISE, ID 83702-5424
(208) 473-1348
(844) 685-6758
Mailing address
1015 W HAYS ST, SUITE 6, BOISE, ID 83702-5424
(208) 473-1348
(844) 685-6758
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M5398
ID
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
M5398
ID
Other
Enumeration date
02/01/2007
Last updated
02/26/2016
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