Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMIKNU MENTORE, MD
ActiveKIMIKNU MENTORE, MD is a Internal Medicine healthcare provider located in BOISE, Idaho. NPI 1184128480 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · BOISE, ID
Registration Details
- NPI Number
- 1184128480
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 21, 2018 (8.4106515389531 yrs)
- Last Updated
- Oct 9, 2025
- Licenses
-
MD2024-0242 (NM)2771058 (ID)
Practice Information
- Address
-
5966 W CURTISIAN AVEBOISE, ID, 837048801Browse ID providers · Browse ZIP 83704
- Phone
- 2083025450
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Infectious Disease
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Student (Health Education/Training)
Other Internal Medicine Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN E SPENCER SR. | MD | 1376548230 |
| DR. SUSAN ELIZABETH BAXTER | MD | 1417959842 |
| LEE M KORNFIELD | MD | 1275527186 |
| DR. GRETCHEN L KOHLER | MD | 1982698502 |
| DR. PETER MATTHEW CLIFTEN | M.D. | 1760473771 |
| DR. LESLEIGH A BOX | MD | 1720064785 |
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.