Search › Idaho › 363A00000X
Mckenna Peck
NPI 1194632414 · on the registry since 2026
Practice
- Address
- 109 N 755 W
Blackfoot, ID 83221 - Phone
- (208) 680-6350
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho