Mary Jean Kujawa, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35-062254 Issued in OH

Practice address

31 Three Mile Dr
Suite 102
Kalispell, MT 59901-3099

Phone

(406) 758-2700

Fax

(406) 758-2777

NPI assigned

Feb 23, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333238400000",
    "number": "1285956888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 THREE MILE DR",
            "address_2": "SUITE 102",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013099",
            "telephone_number": "406-758-2700",
            "fax_number": "406-758-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 THREE MILE DR",
            "address_2": "SUITE 102",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013099",
            "telephone_number": "406-758-2700",
            "fax_number": "406-758-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUJAWA",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2012-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-062254",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "046436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Thomas Krezowski, MD
• Sarah Krol, PA-C
• Kevin A Kropp, D.O.
• Teresa E Kropp, PT ATC
• Kenyon W Kruse, MD
• Marcy Jo Kuntz, MIDWIFE
• Maureen Leslie Kunz, PA-C
• Katie M Kuykendall, DPT
• Sabrina Kuzio-James, LCPC
• Jessica Kyser, M.S.W., L.C.S.W.

• Psychiatry Physician in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Psychiatry Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.