NPI age
11 years
Enumerated 2015-04-08
● Active
Type 1 · Individual
Karissa Deann Keenan, M.D.
Keenan is 1 of 65 obstetrics & gynecology providers in Boise and 1 of 228 in Idaho.
Primary specialty
Obstetrics & Gynecology
Plus 3 subspecialties
Licensed in
ID, UT
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-07-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 228 active obstetrics & gynecology providers in Idaho.
NPI age
11 years
↓ 8 yr below median (19 yr)
State licenses
2 states
Top 72% — 27% of peers are multi-state
Subspecialties
1
In the 42% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-04Enumerated in NPPES
2015
2026
Where they practice
Practice location
1072 N Liberty St, Ste 100
Boise, ID 83704
Mailing address
3340 E Goldstone Dr.
Meridian, ID 83642
Specialties
-
Obstetrics & Gynecology PrimaryAn 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...
-
Student in an Organized Health Care Education/Training ProgramAn 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (UT) | 10100582-1205 | UTAH LICENSE |
| 01 (UT) | 10100582-8905 | UTAH CS SCHEDULE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 31 other active providers share this practice address in NPPES.
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- 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.
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