Provider Demographics
NPI:1265605901
Name:TOBLER, KYLE JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:KYLE
Middle Name:JAMES
Last Name:TOBLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 E PARK BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83712-7792
Mailing Address - Country:US
Mailing Address - Phone:208-342-5900
Mailing Address - Fax:
Practice Address - Street 1:1000 E PARK BLVD STE 110
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83712-7792
Practice Address - Country:US
Practice Address - Phone:208-342-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM-15213207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology