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NPI Code Detail

MEDICARE: MS. KERI J THORN MD

MEDICARE: MS. KERI J THORN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician10516MT

General Provider Information

NPI Number : 1073567632
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KERI J THORN MD
Provider Business Mailing Address
First Line : 107 6TH AVE SW
Second Line :
City : RONAN
State : MT
Zip : 59864-2634
Country : US
Telephone Number : 406-676-4441
Fax Number : 406-676-0835
Provider Business Practice Location Address
First Line : 107 6TH AVE SW
Second Line :
City : RONAN
State : MT
Zip : 59864-2634
Country : US
Telephone Number : 406-676-4441
Fax Number : 406-676-0835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 09/10/2020

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