Austen Davis Kemper, RD | |
2280 American Legion Blvd, Mountain Home, ID 83647-3142 | |
(208) 881-1960 | |
Not Available |
Full Name | Austen Davis Kemper |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 2280 American Legion Blvd, Mountain Home, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1306497060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | D-1135 (Idaho) | Primary |
Provider Name | Glenns Ferry Health Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376673137 PECOS PAC ID: 5496656894 Enrollment ID: O20040119000307 |
Mailing Address | Practice Location Address |
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Austen Davis Kemper, RD 2280 American Legion Blvd, Mountain Home, ID 83647-3142 Ph: (208) 881-1960 | Austen Davis Kemper, RD 2280 American Legion Blvd, Mountain Home, ID 83647-3142 Ph: (208) 881-1960 |
Mountain Home Nutrition Services Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 285 E 4th N, Mountain Home, ID 83647 Phone: 208-590-0858 | |
Ms. Laura Jean Moulton, R.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 285 E 4th N, Mountain Home, ID 83647 Phone: 208-590-0858 Fax: 855-740-2997 | |
Jacob Hohenshelt, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 895 N 6th E, Mountain Home, ID 83647 Phone: 208-841-5393 |