Dr. Kirk J Lewis
Sports Medicine Orthopaedic Surgeon
1188 University Dr
Boise
, Idaho 83706
Dr. Kirk J Lewis
Sports Medicine Orthopaedic Surgeon
1188 University Dr
Boise
, Idaho 83706
(208) 345-9514
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Kirk J Lewis
- 1188 W University Dr
- Boise, ID
- Zip : 83706-3009
- Fax : (208) 345-9514
- Phone : (208) 336-8250
Second Address
- Dr. Kirk J Lewis
- 1188 University Dr
- Boise, ID
- Zip : 83706
- Fax : (208) 345-9514
- Phone : (208) 336-8250
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | M4960 | ID |
National Provider Identifier
| NPI | 1033115803 |
|---|---|
| Provider Name | Dr. Kirk J Lewis |
| First Address | Boise, ID 83706-3009 |
| Second Address | Boise, ID 83706 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2005 |
| Last Update Date | 16/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1033115803 | (05) | ID |
| C36953 | (02) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.