Individual
DR. KATHRYN BORGENICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
905 HIGHLAND BLVD STE 4500, BOZEMAN, MT 59715-6903
(406) 522-2400
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 522-2400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9821
MT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
9821
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000098471
BLUE CROSS MT
MT
05
—
0091409
—
MT
01
—
P00205974
MEDICARE RAILROAD
—
Enumeration date
07/25/2006
Last updated
12/15/2011
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