KARISSA DEANN KEENAN

BOISE, ID
NPI1316333107
Former NameKARISSA HUGHES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: ID  M-14675)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: UT  10100582-1205)
207V00000X Obstetrics & Gynecology
(Licence: UT  10100582-8905)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-04-08
Last Update Date2019-07-26
Business Address
KARISSA DEANN KEENAN M.D.
1072 N LIBERTY ST STE 100
BOISE, ID 83704
Phone number: 208-302-1200
Mailing Address
KARISSA DEANN KEENAN M.D.
3340 E GOLDSTONE DR.
MERIDIAN, ID 83642
Phone number: 208-302-1200