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Karissa Deann Keenan, MD
Obstetrics & Gynecology Physician in Boise, Idaho
NPI 1316333107

Karissa Deann Keenan is a Obstetrics & Gynecology Physician based in Meridian, ID. Karissa Deann Keenan practices in Boise, ID and has the professional credentials of MD. The NPI Number for Karissa Deann Keenan is 1316333107 and holds a License No. 10100582-1205 (Idaho).

The current practice location address for Karissa Deann Keenan is 1072 N Liberty St, Boise, ID and can be reached out via phone at 208-302-1200 and via fax at 208-302-1255.

Location: 1072 N Liberty St, Boise, ID, 83642
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Provider Profile Details
NPI Number
1316333107
Provider Name
Karissa Deann Keenan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1072 N Liberty St, Boise, ID, 83642
Phone Number
208-302-1200
Fax Number
208-302-1255
Provider Enumeration Date
04/08/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10100582-1205 01 UT UTAH LICENSE
10100582-8905 01 UT UTAH CS SCHEDULE
institution
Provider Business Practice Location Address Details
Address
1072 N Liberty St
City
State
Zip
83704
Phone Number
208-302-1200
Fax Number
208-302-1255
person
Provider Business Mailing Address Details
Address
1072 N Liberty St
City
State
Zip
83704
Phone Number
208-302-1200
Fax Number
208-302-1255
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
10100582-8905 (Utah)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
10100582-1205 (Utah)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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