Healthcare Provider Details

I. General information

NPI: 1548360381
Provider Name (Legal Business Name): KAREN EMI KAJIWARA-NELSON M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN EMI KAJIWARA M.S.

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 H ST. EAST
POPLAR MT
59255
US

IV. Provider business mailing address

107 H ST. E
POPLAR MT
59255
US

V. Phone/Fax

Practice location:
  • Phone: 406-768-3491
  • Fax:
Mailing address:
  • Phone: 406-768-3491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number775
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: