Individual
DANIEL A. KORB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 CLAREMONT ST STE C, KALISPELL, MT 59901-3500
(406) 758-5155
(406) 758-5166
Mailing address
75 CLAREMONT ST STE C, KALISPELL, MT 59901-3500
(406) 758-5155
(406) 758-5166
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
5257
MT
2084P0804X
Child & Adolescent Psychiatry Physician
36648
CO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
5257
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01366483
—
CO
01
—
112948
VALUE OPTIONS
CO
01
—
810445794
TAX ID#
CO
Enumeration date
07/18/2006
Last updated
11/27/2023
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