Individual provider · Type 1 NPI

Keith Forkin

Student in an Organized Health Care Education/Training Program · Missoula, MT

NPI number 1093252546 Active

Practice location

301 S 5th St E, Apt 3D
Missoula, MT 59801-2751

Call (406) 438-7669 Map

Mailing address

301 S 5th St E Apt 3D
Missoula, MT 59801-2755

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093252546

Keith Forkin's National Provider Identifier is 1093252546, issued on Jan 23, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Missoula, MT. The record was last updated on Jan 23, 2017.