IndividualActive
Jacob Kammer, MD
NPI 1194761460 · Public Health & General Preventive Medicine Physician · Boise, ID
Provider details
- NPI number
- 1194761460
- Entity type
- Individual
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M9116 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6533 W Emerald St
Boise, ID 83704-8737
Phone: (208) 367-4197
Fax: (208) 367-8136
Approximate (ZIP-level) locationGet directions
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Registry dates
- Enumerated
- 2006-06-22
- Last updated
- 2008-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.