Healthcare Provider Details

I. General information

NPI: 1033603618
Provider Name (Legal Business Name): KATRINA F CULMER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2018
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 KRUGER RD
PLAINS MT
59859
US

IV. Provider business mailing address

2949 STATE ROUTE 370
CATO NY
13033-9778
US

V. Phone/Fax

Practice location:
  • Phone: 406-826-4800
  • Fax: 406-826-4803
Mailing address:
  • Phone: 315-626-2117
  • Fax: 315-626-2747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number100962
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number335778-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: