NPI age
7 years
Enumerated 2018-07-31
● Active
Type 1 · Individual
Ryan Blair Killpack, PA-C
Killpack is 1 of 4 physician assistant providers in Blackfoot and 1 of 387 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2018-07-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 387 active physician assistant providers in Idaho.
NPI age
7 years
↓ 8 yr below median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-07Enumerated in NPPES
2018
2026
Where they practice
Practice location
98 Poplar St
Blackfoot, ID 832211758
Mailing address
98 Poplar St
Blackfoot, ID 832211758
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantDefinition to come...
Practice context
Part of a multi-provider practice. 107 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 387 Physician Assistant providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.