Individual provider · Type 1 NPI

Kieran Doherty, PA-C

Physician Assistant · Coeur D Alene, ID

NPI number 1457085987 Active

Practice location

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

Call (208) 625-5200 Map

Fax (208) 625-5201

Mailing address

706 W Franklin St
Shelton, WA 98584-2548

Other practice locations

  • 914 S Scheuber Rd, Centralia, WA 98531-9027 · (360) 736-2803

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5971256 (ID)
Physician Assistant 363A00000XPA61487517 (WA)

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 1457085987

Kieran Doherty, PA-C's National Provider Identifier is 1457085987, issued on Jul 11, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Dec 18, 2025.