NPI age
3 years
Enumerated 2022-07-11
● Active
Type 1 · Individual
Kieran Doherty, PA-C
Doherty is 1 of 72 physician assistant providers in Coeur D Alene and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-12-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
3 years
↓ 6 yr below median (9 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-07Enumerated in NPPES
2022
2026
Where they practice
Practice location
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Mailing address
706 W Franklin St
Shelton, WA 985842548
Additional practice locations
1 secondary location on file with NPPES.
Location 2
914 S Scheuber Rd
Centralia, WA 985319027
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Part of a multi-provider practice. 239 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 1263 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.