Kim Noack, PHYSICIAN ASSITANT
Individual provider Active NPI Physician Assistant · Malmstrom Afb, MT
NPI 1982377149 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1982377149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 7300 N Perimeter Rd
Malmstrom Afb, MT 59402-6701 - Phone
- (406) 731-7494
- NPI assigned
- Jul 26, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
7300 N Perimeter Rd
Malmstrom Afb, MT 59402-6701
Mailing address
559 Vincent St
Peterson Afb, CO 80914-1541
Other providers in Malmstrom Afb, MT
- Thomas M McCracken
- Bentley Michael
- Homer Andrew Miller
- Carol F Nelson
- Richard K Newman
- Crystal Noppenberg
- Alberto Ordonez III
- Alexander Ortiz
- Mercy Jean Padgett
- Dallin Page
All providers in Malmstrom Afb, MT · Physician Assistant in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2025. 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.