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NPI Code Detail

MEDICARE: KINLEY MAE POPE SWLC

MEDICARE: KINLEY MAE POPE SWLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerBBH-SWLC-LIC-80832MT

General Provider Information

NPI Number : 1023953601
Entity Type Code : Individual
Provider Name (Legal Business Name) : KINLEY MAE POPE SWLC
Provider Business Mailing Address
First Line : 4720 23RD AVE
Second Line :
City : MISSOULA
State : MT
Zip : 59803-1137
Country : US
Telephone Number : 406-207-3220
Fax Number :
Provider Business Practice Location Address
First Line : 4720 23RD AVE
Second Line :
City : MISSOULA
State : MT
Zip : 59803-1137
Country : US
Telephone Number : 406-207-3220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/23/2026

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Directions to “ KINLEY MAE POPE SWLC” Practice Location

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