Healthcare Provider Details

I. General information

NPI: 1033857214
Provider Name (Legal Business Name): CHRISTIE LYNN MCKAMEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 05/26/2022
Certification Date: 05/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N CHEYENNE AVE
LAME DEER MT
59043-5198
US

IV. Provider business mailing address

420 N CHEYENNE AVE
LAME DEER MT
59043-5198
US

V. Phone/Fax

Practice location:
  • Phone: 406-477-4484
  • Fax:
Mailing address:
  • Phone: 406-477-4484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberNUR-RN-LIC-38461
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: