Healthcare Provider Details

I. General information

NPI: 1063453181
Provider Name (Legal Business Name): KAREN SKONORD N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 03/23/2020
Certification Date: 03/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2282 US HIGHWAY 93 S APT 1
KALISPELL MT
59901
US

IV. Provider business mailing address

2282 US HIGHWAY 93 S APT 1
KALISPELL MT
59901-8536
US

V. Phone/Fax

Practice location:
  • Phone: 406-756-8721
  • Fax: 406-257-4054
Mailing address:
  • Phone: 406-756-8721
  • Fax: 406-257-4054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN006655
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: