MEDICARE: HKJ INC

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
1	363LP2300X	Primary Care Nurse Practitioner
2	261Q00000X	Clinic/Center
3	261QM0850X	Adult Mental Health Clinic/Center	10966	MT
4	2084P0800X	Psychiatry Physician
5	251B00000X	Case Management Agency	12957	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558483206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HKJ INC

Provider Business Mailing Address
First Line	:	3000 PALMER ST STE B
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1671
Country	:	US
Telephone Number	:	406-543-1929
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 PALMER ST STE B
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1671
Country	:	US
Telephone Number	:	406-541-4673
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. DONNA ROSE JENNINGS
Credential	:
Telephone Number	:	406-541-4673

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	02/10/2026

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Directions to “HKJ INC ” Practice Location

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