Healthcare Provider Details

I. General information

NPI: 1699625277
Provider Name (Legal Business Name): BLAIR KAY TOMSHECK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 1ST ST S
SHELBY MT
59474-1923
US

IV. Provider business mailing address

703 TETON AVE
SHELBY MT
59474-1522
US

V. Phone/Fax

Practice location:
  • Phone: 406-424-5169
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number285258
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: