# PHYSICIAN MANAGEMENT SERVICES OF MONTANA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VAXCARE CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417673153
- **Legal business name:** VAXCARE CORPORATION
- **Authorized official:** BRETT KENEFICK (PRESIDENT)
- **Authorized official phone:** (888) 829-8550

## Contact information

- **Practice address:** 316 E BABCOCK ST, BOZEMAN, MT 59715-4710
- **Practice address phone:** (888) 829-8550
- **Mailing address:** 800 N MAGNOLIA AVE STE 700, ORLANDO, FL 32803-3264
- **Mailing address phone:** (888) 829-8550

## Taxonomy

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

## Other

- **Enumeration date:** 10/14/2022
- **Last updated:** 07/24/2026