Individual
MS. SUSAN CAHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
40 2ND ST E, SUITE 225, KALISPELL, MT 59901-6110
(406) 250-4594
(406) 755-1645
Mailing address
425 SUNNYVIEW LN, KALISPELL, MT 59901-3139
(406) 250-4594
(406) 755-1645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000558-1
NY
363A00000X
Physician Assistant
Primary
09
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004301969
—
MT
Enumeration date
11/22/2006
Last updated
07/08/2007
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