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Contact Information

RYAN S KEMP, DPM
809 N LIBERTY ST
BOISE, ID83704-8703
 Phone: 208-327-0627
 Fax: 208-376-5258
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RYAN S KEMP · (Male)

NPI Number 1437442290
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/26/2011
Last updated 03/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # E5142
  • ID License # P-240
  • IN License # 07001189B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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