Individual
MR. JOHN R. KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. OB/GYN
Contact information
Practice address
215 E HAWAII AVE, NAMPA, ID 83686-6011
(208) 463-3138
(208) 463-3044
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
(208) 463-3044
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M7791
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010005665
BLUE SHIELD
ID
01
—
000010005666
BLUE SHIELD
ID
01
—
000010138574
BLUE SHIELD
ID
01
—
000010147415
BLUE SHIELD
ID
01
—
160046602
RAILROAD MEDICARE
ID
01
—
33241
BLUE CROSS
ID
05
—
805527100
—
ID
01
—
B0875
BLUE CROSS
ID
01
—
J1601
BLUE CROSS
ID
01
—
J6584
BLUE CROSS
ID
Enumeration date
10/21/2005
Last updated
12/18/2013
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