NPI age
10 years
Enumerated 2015-05-29
● Active
Type 1 · Individual
Kaleb Redden, DO
Redden is 1 of 12 family medicine providers in Boise and 1 of 26 in Idaho.
Primary specialty
Family Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-06-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 26 active family medicine providers in Idaho.
NPI age
10 years
↓ 4 yr below median (14 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-05Enumerated in NPPES
2015
2026
Where they practice
Practice location
777 N Raymond St
Boise, ID 837049251
Mailing address
777 N Raymond St
Boise, ID 837049251
Specialties
-
Family Medicine PrimaryA family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1366822892 |
Practice context
Part of a multi-provider practice. 161 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.