# AIM HEALTHCARE PROVIDERS MT, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AIM HEALTHCARE PROVIDERS MT, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063356012
- **Legal business name:** AIM HEALTHCARE PROVIDERS MT, PLLC
- **Authorized official:** KELLY KARANIUK (CREDENTIALING DIRECTOR)
- **Authorized official phone:** (480) 447-6841

## Contact information

- **Practice address:** 2425 W CENTRAL AVE STE 203&205, MISSOULA, MT 59801-6402
- **Practice address phone:** (480) 494-2465
- **Mailing address:** 5525 GRANITE PKWY STE 780, PLANO, TX 75024-4364
- **Mailing address phone:** (480) 494-2465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2026
- **Last updated:** 04/17/2026