IndividualActive
Kirk Lewis, MD
NPI 1033115803 · Sports Medicine (Orthopaedic Surgery) Physician · Boise, ID
Provider details
- NPI number
- 1033115803
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M4960 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1188 University Dr
Boise, ID 83706
Phone: (208) 336-8250
Fax: (208) 345-9514
Approximate (ZIP-level) locationGet directions
Mailing address
1188 W University Dr
Boise, ID 83706-3009
Registry dates
- Enumerated
- 2005-06-24
- Last updated
- 2018-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.