Kempers, Kevin G
Kempers, Kevin G is an individual health care provider with primary practice located at 3003 W Main St Ste 130 , Boise ID 83702-2026. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Kempers, Kevin G can be contacted via phone (208) 342-7610.Contact Information
Primary practice address
3003 W Main St Ste 130
Boise ID 83702-2026
Phone: (208) 342-7610
Fax: (208) 344-1799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D-3407 | Idaho |
Profile Details
| NPI number | 1255435459 |
|---|---|
| LBN Legal business name | Kempers, Kevin G |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Apr 16th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255435459 | NPPES |
| Idaho | MEDICAID | 805496900 | |
| Idaho | MEDICAID | 805511300 |
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