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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KARISSA DEANN KEENAN, M.D.

Active Sole Proprietor

KARISSA DEANN KEENAN, M.D. is a Obstetrics & Gynecology healthcare provider located in BOISE, Idaho. NPI 1316333107 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · BOISE, ID

Registration Details

NPI Number
1316333107
Provider Type
Individual
Gender
Female
NPI Issued
Apr 8, 2015 (11.393552403683 yrs)
Last Updated
Jul 26, 2019
Licenses
10100582-1205 (UT)
10100582-8905 (UT)
M-14675 (ID)
Sole Proprietor
Yes

Practice Information

Address
1072 N LIBERTY ST
STE 100
BOISE, ID, 83704
Browse ID providers · Browse ZIP 83704
Phone
2083021200
Fax
2083021255
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology
Additional Specialty
Obstetrics & Gynecology

Other Obstetrics & Gynecology Providers in BOISE, ID

Name Credential NPI
DR. MONIKA GERDA FEALKO MD 1801891569
DR. CELSO A HERNANDEZ M.D. 1932100559
ALAN R SWAJKOSKI MD 1194719732
LESLIE GLENN POOL M.D. 1255325882
DIRK T CARLSON MD 1508850140
DENNIS N CARTER MD 1982699435
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.