IndividualActive
Kaleb Redden, DO
NPI 1366822892 · Sports Medicine (Family Medicine) Physician · Boise, ID
Provider details
- NPI number
- 1366822892
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- O-0995 (ID)
Practice location
777 N Raymond St
Boise, ID 83704-9251
Phone: (208) 514-2500
Fax: (208) 375-2217
Mailing address
777 N Raymond St
Boise, ID 83704-9251
Registry dates
- Enumerated
- 2015-05-29
- Last updated
- 2019-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.