SearchMontanaStudent in an Organized Health Care Education/Training Program

Keith Forkin

NPI 1093252546 · on the registry since 2017 · sole proprietor

Practice

Address
301 S 5th St E
Apt 3d
Missoula, MT 59801
Phone
(406) 438-7669

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Licence states on file
MT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-01-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana