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Individual

KIM D STIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 HERITAGE WAY, SUITE 1200, KALISPELL, MT 59901
(406) 752-6784
(406) 756-4111
Mailing address
350 HERITAGE WAY, SUITE 1200, KALISPELL, MT 59901
(406) 752-6784
(406) 756-4111

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11011
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1215983937
BCBS
MT
05
1215983937
MT
Enumeration date
05/25/2006
Last updated
04/16/2012
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