| 4 My Kids Family Practice | |
|
20 Four Mile Dr Suite 2 Kalispell MT 59901-2632 | |
| (406) 755-6774 | |
| Not Available |
| Full Name | 4 My Kids Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 20 Four Mile Dr, Kalispell, Montana |
| Authorized Official Name and Position | Kathy (kj) J Bronson (OWNER) |
| Authorized Official Contact | 4067556774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 4 My Kids Family Practice 95 Indian Trail Rd Kalispell MT 59901-2613 Ph: (406) 755-6774 | 4 My Kids Family Practice 20 Four Mile Dr Suite 2 Kalispell MT 59901-2632 Ph: (406) 755-6774 |
| NPI Number | 1831341296 |
|---|---|
| Provider Enumeration Date | 10/16/2008 |
| Last Update Date | 11/19/2019 |
| Medicare PECOS PAC ID | 2860554953 |
|---|---|
| Medicare Enrollment ID | O20081226000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831341296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kathy J Bronson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699702100 PECOS PAC ID: 0143282632 Enrollment ID: I20081226000004 |
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