Individual provider · Type 1 NPI

McKenna Peck

Physician Assistant · Blackfoot, ID

NPI number 1194632414 Active

Practice location

109 N 755 W
Blackfoot, ID 83221-5345

Call (208) 680-6350 Map

Mailing address

PO Box 1387
Hayden, ID 83835-1387

Other practice locations

  • 3700 W Seltice Way, Coeur D Alene, ID 83814-8921 · (208) 620-5250

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X7881334 (ID)

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 1194632414

McKenna Peck's National Provider Identifier is 1194632414, issued on Aug 24, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Blackfoot, ID. The record was last updated on Oct 26, 2026.