Healthcare Provider Details

I. General information

NPI: 1275984437
Provider Name (Legal Business Name): ERIN STOCKWELL BARNES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2016
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 SUNNYVIEW LN
KALISPELL MT
59901-3120
US

IV. Provider business mailing address

205 SUNNYVIEW LN
KALISPELL MT
59901-3120
US

V. Phone/Fax

Practice location:
  • Phone: 406-758-7035
  • Fax: 406-758-7069
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number132501
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number132501
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: