Individual
KIM SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
205 BEDFORD ST, SUITE L, HAMILTON, MT 59840-2853
(406) 375-6671
(406) 375-6680
Mailing address
PO BOX 350005, GRANTSDALE, MT 59835-0005
(406) 375-6676
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11030
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3500952
—
MT
Enumeration date
03/29/2007
Last updated
07/08/2007
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