Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KAITLIN C NEARY, M.D.
Active Sole ProprietorDR. KAITLIN C NEARY, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in BOISE, Idaho. NPI 1053609073 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · BOISE, ID
Registration Details
- NPI Number
- 1053609073
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2011 (14.948837782338 yrs)
- Last Updated
- Apr 22, 2024
- Licenses
-
16821 (NV)6556 (NE)16821 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8950 W EMERALD ST STE 168BOISE, ID, 837048296Browse ID providers · Browse ZIP 83704
- Phone
- 2083211209
- Fax
- 2083211211
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
- Additional Specialty
- Orthopaedic Surgery
- Additional Specialty
- Orthopaedic Surgery
Other Sports Medicine (Orthopaedic) Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| STEVEN E ROSER | M.D. | 1992716872 |
| TRAVIS JAY KEMP | MD | 1669607172 |
| CHRISTOPHER DESUTTER | MD | 1104473883 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.