Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Karissa Deann Keenan, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1316333107

Karissa Deann Keenan, MD is an Obstetrics/Gynecology in Boise, Idaho. Graduated from University of Washington School of Medicine in 2015, 11 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
11
Trained at
University of Washington School of Medicine
Licensed in
ID, UT
In the registry since
2015
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1072 N Liberty St Ste 100
Boise, ID 83704
Phone: (208) 302-1200
Fax: (208) 302-1255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence M-14675 (ID)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 10100582-1205 (UT)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 10100582-8905 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316333107
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 8, 2015
Last updated in NPPESJuly 26, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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