Individual
MRS. KIMBERLY DAWN STUDINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
420 CHEYENNE AVE, LAME DEER, MT 59043
(406) 477-4554
(406) 477-4554
Mailing address
PO BOX 70, 420 CHEYENNE AVE, LAME DEER, MT 59043
(406) 477-4554
(406) 477-3153
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
517
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
517
STATE LICENSE
MT
05
—
9901939
—
MT
Enumeration date
12/04/2007
Last updated
04/22/2024
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