# AMY KRISTEN MCINTYRE MATHENY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376771568
- **Gender:** F
- **Credential:** MD, MPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 18885 | MT | Yes |
| 207Q00000X | Family Medicine Physician | M-11147 | ID | — |
| 207Q00000X | Family Medicine Physician | MR-1055 | ID | — |

## Other

- **Enumeration date:** 06/25/2009
- **Last updated:** 01/09/2015