IndividualActive
Kurt Nilsson, MD
NPI 1477581122 · Sports Medicine (Family Medicine) Physician · Boise, ID
Provider details
- NPI number
- 1477581122
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M8827 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1109 W Myrtle St
Suite 200
Boise, ID 83702-6970
Phone: (208) 383-0201
Fax: (208) 489-4300
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2013-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.