Kemp, Travis Jay

Kemp, Travis Jay is an individual health care provider with primary practice located at 7979 W Rifleman St , Boise ID 83704-9066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Kemp, Travis Jay can be contacted via phone (208) 855-2410.

Contact Information

Primary practice address
7979 W Rifleman St Boise ID 83704-9066
Phone: (208) 855-2410
Fax: (208) 855-0157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X M-10673 Idaho
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X MD151135 Oregon

Profile Details

NPI number 1669607172
LBN Legal business name Kemp, Travis Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2009
Last updated Sep 17th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669607172 NPPES
Idaho MEDICAID 808378000

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