MICHELLE KEEN PA-C
NPI 1275242323
Physician Assistant in Boise, ID

Active since November 17, 2022
633 N 4TH ST, BOISE, ID 83702(208) 342-9800(208) 342-4223 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2022, Nov 17, 2022 (2 updates tracked since 2022).

About Michelle Keen Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE KEEN PA-C (NPI 1275242323) is an individual physician assistant in Boise, Idaho, licensed in Idaho (PA-2398) and active in the NPI registry since November 2022. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275242323
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMICHELLE KEENCredential: PA-C
Location Address633 N 4TH STBoise, ID 83702-4510
Mailing Address633 N 4th StBoise, ID 83702-4510 · (208) 342-9800 · Fax (208) 342-4223
Fax(208) 342-4223
Sole ProprietorNo
Enumeration DateNovember 17, 2022
Last NPPES UpdateDecember 13, 20222 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
NPI 1275242323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ID · PA-2398
Definition
A 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 trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
633 N 4TH ST, Boise, ID 83702

Secondary Practice Locations 2

Location 11825 S Kimball AveCaldwell, ID 83605-4828 · Phone (208) 455-3535 · Fax (208) 455-5190
Location 2215 W 35th StGarden City, ID 83714-6520 · Phone (208) 384-5200

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
633 N 4TH ST
BOISE, ID 83702
Anesthesiology (Pain Medicine)
633 N 4TH ST
BOISE, ID 83702
Physician Assistant
633 N 4TH ST
BOISE, ID 83702
Clinic/Center (Pain)
633 N 4TH ST
BOISE, ID 83702
Physician Assistant (Medical)
633 N 4TH ST
BOISE, ID 83702
Clinical Nurse Specialist (Adult Health)
633 N 4TH ST
BOISE, ID 83702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Keen's NPI number?

The NPI number for Michelle Keen is 1275242323. It was assigned to this individual provider in the NPPES registry on November 17, 2022.

Where is Michelle Keen located?

Michelle Keen practices at 633 N 4th St, Boise, ID 83702. The listed phone number is (208) 342-9800.

What is Michelle Keen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Michelle Keen was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.