Individual
MRS. KIMBERLY LYNN LONGCAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
202 CONWAY DR STE 200, KALISPELL, MT 59901-3153
(844) 215-7969
(406) 758-7080
Mailing address
202 CONWAY DR STE 200, KALISPELL, MT 59901-3153
(844) 215-7969
(406) 758-7080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
100423
MT
363LF0000X
Family Nurse Practitioner
991
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162616
MEDICARE MD GROUP #
AK
05
—
NP05782
—
AK
Enumeration date
06/18/2007
Last updated
11/27/2023
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