Healthcare Provider Details

I. General information

NPI: 1669788154
Provider Name (Legal Business Name): AMY KIRBOW CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2010
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W VILLARD ST
BOZEMAN MT
59715-3443
US

IV. Provider business mailing address

2808 MEAH LN
BOZEMAN MT
59718-1525
US

V. Phone/Fax

Practice location:
  • Phone: 406-585-0752
  • Fax:
Mailing address:
  • Phone: 816-457-0255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number12030042
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: