Kimberly Ann Hanson
Individual provider Active NPI Dental Hygienist · Whitefish, MT
NPI 1831690486 · NPPES record last updated Feb 27, 2018
Key facts
- NPI
- 1831690486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 947 (MT)
- Practice address
- 378 Deer TRL
Whitefish, MT 59937-8468 - Phone
- (406) 270-3958
- NPI assigned
- Feb 27, 2018
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 947 | MT | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 947 | MT | Yes |
Addresses
Primary practice location
378 Deer TRL
Whitefish, MT 59937-8468
Mailing address
378 Deer TRL
Whitefish, MT 59937-8468
Other providers in Whitefish, MT
- Jordan M Hall
- Devin R Hallstrom
- Sara B Hammel
- Alexis A Hansen
- Donald G. Hanson
- Leah Hanson
- Michael D Hanson
- Samuel Harkness
- Devin M Harms
- Harnam Kaur Health
All providers in Whitefish, MT · Dental Hygienist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.