Individual
TRAVIS JAY KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
(208) 855-2410
(208) 855-0157
Mailing address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
(208) 855-2410
(208) 855-0157
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
M-10673
ID
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
MD151135
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808378000
—
ID
Enumeration date
05/28/2009
Last updated
09/17/2013
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