DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KATHLEEN MARKLE RACICOT PA-C

MEDICARE: KATHLEEN MARKLE RACICOT PA-C
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
1363A00000XPhysician Assistant31214MT
2363AS0400XSurgical Physician Assistant31214MT

General Provider Information

NPI Number : 1154655777
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN MARKLE RACICOT PA-C
Provider Business Mailing Address
First Line : 2740 SOUTH AVENUE WEST
Second Line : SUITE 101
City : MISSOULA
State : MT
Zip : 59804-5137
Country : US
Telephone Number : 406-728-6101
Fax Number : 406-721-3278
Provider Business Practice Location Address
First Line : 2740 SOUTH AVENUE WEST
Second Line : SUITE 101
City : MISSOULA
State : MT
Zip : 59804-5137
Country : US
Telephone Number : 406-728-6101
Fax Number : 406-721-3278
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2009
Last Update Date : 02/01/2019

Similar Medicare Providers

1174523336 — DR. LARRY R. STAYNER M.D.
Practice Location Address:
2740 SOUTH AVE W STE 101
MISSOULA, MT
59804-5137
Practice Phone: 406-728-6101
Practice Fax: 406-721-3278
1013937002 — JENNIFER K HELMER MSPT, CHT
Practice Location Address:
2740 SOUTH AVE W STE 101
MISSOULA, MT
59804-5137
Practice Phone: 406-543-0617
Practice Fax: 406-728-1085
1114001765 — TARA MAHONEY WILSON MSPT, OCS, CSCS
Practice Location Address:
2740 SOUTH AVE W STE 101
MISSOULA, MT
59804-5137
Practice Phone: 406-543-0617
Practice Fax: 406-728-1085
1669676912 — KRISTIN KATHLEEN GREEN DPT, OCS
Practice Location Address:
2740 SOUTH AVE W STE 101
MISSOULA, MT
59804-5137
Practice Phone: 406-543-0617
Practice Fax: 406-728-1085
1487834305 — MRS. AMIE MICHELLE SCHILLINGER PA-C
Practice Location Address:
2740 SOUTH AVENUE WEST , SUITE 101
MISSOULA, MT
59804-5137
Practice Phone: 406-728-6101
Practice Fax: 406-721-3278
1063654283 — TAYLOR BUCKLEY M.D.
Practice Location Address:
2740 SOUTH AVE W STE 101
MISSOULA, MT
59804-5137
Practice Phone: 406-728-6101
Practice Fax: 406-721-3278

Directions to “ KATHLEEN MARKLE RACICOT PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.