| Kimbra Marie Pllc | |
|
728 S Main St Ste 202 Kalispell MT 59901-5342 | |
| (406) 356-6496 | |
| Not Available |
| Full Name | Kimbra Marie Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 728 S Main St Ste 202, Kalispell, Montana |
| Authorized Official Name and Position | Kimbra Buerschaper (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 4063566496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimbra Marie Pllc Po Box 10793 Kalispell MT 59904-3793 Ph: () - | Kimbra Marie Pllc 728 S Main St Ste 202 Kalispell MT 59901-5342 Ph: (406) 356-6496 |
| NPI Number | 1386396703 |
|---|---|
| Provider Enumeration Date | 01/26/2022 |
| Last Update Date | 01/26/2022 |
| Certification Date | 01/26/2022 |
| Medicare PECOS PAC ID | 4183019847 |
|---|---|
| Medicare Enrollment ID | O20220315002203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386396703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kimbra Marie Buerschaper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851054209 PECOS PAC ID: 5092100750 Enrollment ID: I20220315002353 |
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