Individual
KATHIE FAY KADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
327 EDITH ST, MISSOULA, MT 59801-3915
(406) 672-8655
Mailing address
327 EDITH ST, MISSOULA, MT 59801-3915
(406) 672-8655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10001
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000095798
BCBS
MT
Enumeration date
05/31/2006
Last updated
09/23/2016
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