Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIERAN DOHERTY, PA-C
Active Sole ProprietorKIERAN DOHERTY, PA-C is a Physician Assistant healthcare provider located in COEUR D ALENE, Idaho. NPI 1457085987 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1457085987
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2022 (4.0902984131631 yrs)
- Last Updated
- Dec 18, 2025
- Licenses
-
5971256 (ID)PA61487517 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2003 KOOTENAI HEALTH WAYCOEUR D ALENE, ID, 838146051Browse ID providers · Browse ZIP 83814
- Phone
- 2086255200
- Fax
- 2086255201
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| LAURIE GALLEGOS | PA-C | 1215926258 |
| MAGEN S SCHMIDT | PAC | 1497738827 |
| JAMES W DUTKIEWICZ | PA | 1114992179 |
| MS. KATIE DAWN JARSTAD | PA-C | 1326099672 |
| MR. SCOTT WILLIAM GIBBS | PA-C | 1912959321 |
| JOANNE M HUESTIS | PA-C | 1902850449 |
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.