Active NPI
William Keith Lara, MD
- Emergency Medicine Physician
- Kalispell, MT
National Provider Identifier
1336186337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 7809
- Practice address
- 310 Sunnyview LN
Emergency Dept
Kalispell, MT 59901-3129 - Phone
- (406) 752-1708
- Fax
- (406) 755-0971
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 7809 | MT | Primary |
Addresses
Primary practice location
310 Sunnyview LN
Emergency Dept
Kalispell, MT 59901-3129
Mailing address
202 Conway Dr
Suite 100
Kalispell, MT 59901-3112
Phone (406) 752-5656
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152677 | Medicaid | MT | |
| 93206 | Other | MT | BLUE CROSS |
Other names 1
- Keith Lara
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7809 | MT | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1336186337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 CONWAY DR",
"address_2": "SUITE 100",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013112",
"telephone_number": "406-752-5656",
"fax_number": "406-755-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 SUNNYVIEW LN",
"address_2": "EMERGENCY DEPT",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013129",
"telephone_number": "406-752-1708",
"fax_number": "406-755-0971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARA",
"first_name": "WILLIAM",
"middle_name": "KEITH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MT",
"license": "7809",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152677",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "93206",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KEITH",
"last_name": "LARA",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.