Individual provider · Type 1 NPI

Kimiknu Mentore, MD

Internal Medicine Physician · Boise, ID

NPI number 1184128480 Active

Practice location

5966 W Curtisian Ave
Boise, ID 83704-8801

Call (208) 302-5450 Map

Mailing address

PO Box 190930
Boise, ID 83719-0930

Other practice locations

  • 1 University Of New Mexico, MSC10 5550, Albuquerque, NM 87131 · (505) 272-4461

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Infectious Disease Physician 207RI0200XMD2024-0242 (NM)
Internal Medicine Physician Primary 207R00000X2771058 (ID)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1184128480

Kimiknu Mentore, MD's National Provider Identifier is 1184128480, issued on Mar 21, 2018. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Boise, ID. The record was last updated on Oct 9, 2025.