| NPI | 1346078037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RICKEL LLC Owner 406-570-1169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |