Whalio Doctors

NPI 1194761460

Jacob Kammer, MD

Practitioner Public Health & General Preventive Medicine Physician Boise, ID

Practice location

Address
6533 W Emerald St, Boise, ID 83704-8737
Phone
(208) 367-4197
Fax
(208) 367-8136
Mailing address
3340 E Goldstone Way, Meridian, ID 83642-1026

Registered specialties

Public Health & General Preventive Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence M9116 (ID)

Registry record

NPI
1194761460
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Jun 2006
Record last updated
31 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.