Kathleen Quinn Porco, MS, CDCES, NBC-HWC

Individual provider Active NPI Health & Wellness Coach · Red Lodge, MT

NPI 1083470181 · NPPES record last updated Feb 26, 2024

Key facts

NPI
1083470181
Entity type
Individual (NPI type 1)
Primary specialty
Health & Wellness Coach 171400000X
License
972730872 (MT)
Practice address
305 N Platt Ave
Red Lodge, MT 59068-9184
Phone
(406) 210-1143
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
972730872MTMDHealth & Wellness Coach

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 972730872 MT Yes

Addresses

Primary practice location

305 N Platt Ave
Red Lodge, MT 59068-9184

Mailing address

PO Box 1176
Red Lodge, MT 59068-1176
Phone (406) 210-1143

Other names

  • Kat Porco Professional name

Other providers in Red Lodge, MT

All providers in Red Lodge, MT · Health & Wellness Coach in Montana

Sources for this page

Verify at the official NPI Registry.