Individual
KIMBERLY ANNETTE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2245 W KOCH ST, STE A, BOZEMAN, MT 59718-4013
(406) 585-7000
(406) 585-7102
Mailing address
2245 W KOCH ST, STE A, BOZEMAN, MT 59718-4013
(406) 585-7000
(406) 585-7102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
868
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000041811
BLUE CROSS/BLUE SHIELD
MT
05
—
0165291
—
MT
05
—
0165321
—
MT
Enumeration date
10/26/2006
Last updated
07/08/2019
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