Kyan McKeever, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

50309 Issued in ID

Practice address

417 S 6TH St
Boise, ID 83702-7632

Phone

(510) 305-3868

NPI assigned

Oct 2, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kyan Dufenhorst Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1780464396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5391 E QUARTERSAWN CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837168621",
            "telephone_number": "510-305-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S 6TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027632",
            "telephone_number": "510-305-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEEVER",
        "first_name": "KYAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "ID",
            "license": "50309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYAN",
            "last_name": "DUFENHORST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shane McIntyre, PA
• Pennie Jeanine McKay, M.A., L.C.P.C., L.M.
• Dana Marie McKee, APRN
• Jake McKee
• Jason Storm McKee, DPT, PT
• Amy McKenzie, LCPC, ACADC
• Robert Allan McKie, M.D.
• McKim Surgery Center, Inc
• Phyllis V McKinley, LPC
• Russell Fuller McKinley, DDS

• General Practice Registered Nurse in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Registered Nurse in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.