Female

Kathryn R. Walicki DO

Family Medicine Physician in Stevensville, MT(View on Map)

Full Name

Kathryn Ross Walicki DO

NPI Number

1144783929

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/09/2019

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Montana

License Number

MED-PHYS-LIC-116218

Contact
Information

Purpose

Mailing
Location

Address

1200 WESTWOOD DR
3975 US HWY 93 N

City

Hamilton
Stevensville

State

MT
MT

Postal Code

59840-2345
59870-6474

Country

US
US

Telephone Number

N/A
(406) 777-6002

Identifiers

Identifier

200014749
1144783929

Identifier State

MT
ID

Identifier Issuer

Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/12/2024

Provider Address

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