Individual
MR. TIMOTHY JOHN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11 5TH AVE W, KALISPELL, MT 59901-4347
(406) 257-7334
Mailing address
305 SHELTER VALLEY DRIVE, KALISPELL, MT 59901-4347
(406) 249-7986
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
19063
MT
367500000X
Certified Registered Nurse Anesthetist
55450
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145254
BCBS OF KS
KS
05
—
200372610A
—
KS
Enumeration date
05/17/2006
Last updated
04/22/2025
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