Kevin A Clifford, MD

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

M5398 Issued in ID

Practice address

1015 W Hays St
Suite 6
Boise, ID 83702-5424

Phone

(208) 473-1348

Fax

(844) 685-6758

NPI assigned

Feb 1, 2007

Last updated

Feb 26, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrative Palliative Care, PLLC

  • Community Based Hospice Care Agency
  • Boise, ID
  • NPI 1801345467
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1568500700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W HAYS ST",
            "address_2": "SUITE 6",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025424",
            "telephone_number": "208-473-1348",
            "fax_number": "844-685-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W HAYS ST",
            "address_2": "SUITE 6",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025424",
            "telephone_number": "208-473-1348",
            "fax_number": "844-685-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "KEVIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M5398",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "ID",
            "license": "M5398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Don Clements, O.D.
• Timothy Cleveland
• Kristin Cleverdon, PHARMD
• Chad William Cleverly, O.D.
• Kathleen Clifford, NP
• Joseph J Clift, CRNA
• Peter Matthew Cliften, M.D.
• Meloney Clifton, L.M.T.
• Caleb Joshua Cline
• Joshua David Cline, MSCCC SLP

• Hospice and Palliative Medicine (Family Medicine) Physician in Boise, ID
• Providers in Boise, ID by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.