| Nina Kahm Lcsw | |
|
336 W Spruce St Missoula MT 59802-4108 | |
| (406) 544-4792 | |
| (406) 721-2833 |
| Full Name | Nina Kahm Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 336 W Spruce St, Missoula, Montana |
| Authorized Official Name and Position | Nina Kahm (OWNER) |
| Authorized Official Contact | 4065444792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nina Kahm Lcsw Po Box 9185 Missoula MT 59807-9185 Ph: (406) 544-4792 | Nina Kahm Lcsw 336 W Spruce St Missoula MT 59802-4108 Ph: (406) 544-4792 |
| NPI Number | 1558721613 |
|---|---|
| Provider Enumeration Date | 03/02/2016 |
| Last Update Date | 03/31/2016 |
| Medicare PECOS PAC ID | 1951609023 |
|---|---|
| Medicare Enrollment ID | O20160406001678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558721613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2317 (Montana) | Primary |
| Provider Name | Nina C Kahm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679930077 PECOS PAC ID: 6103123203 Enrollment ID: I20160404001479 |
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