KALEB REDDEN

BOISE, ID
NPI1366822892
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: ID  O-0995)
Enumeration Date2015-05-29
Last Update Date2019-06-19
Business Address
KALEB REDDEN DO
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
Mailing Address
KALEB REDDEN DO
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500