Individual provider · Type 1 NPI

Karis Ricken

Physician Assistant · Boise, ID

NPI number 1104679307 Active

Practice location

190 E Bannock St
Boise, ID 83712-6241

Call (208) 381-5500 Map

Fax (208) 381-2555

Other practice locations

  • 921 S 8th Ave Stop 8253, Pocatello, ID 83209-0002 · (208) 282-4726

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X7081231 (ID)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Physician Assistant: 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, orde…

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About NPI 1104679307

Karis Ricken's National Provider Identifier is 1104679307, issued on Apr 8, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Sep 9, 2026.