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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEITH FORKIN

Active Sole Proprietor

KEITH FORKIN is a Student (Health Education/Training) healthcare provider located in MISSOULA, Montana. NPI 1093252546 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · MISSOULA, MT

Registration Details

NPI Number
1093252546
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2017 (9.5153981478525 yrs)
Last Updated
Jan 23, 2017
Sole Proprietor
Yes

Practice Information

Address
301 S 5TH ST E
APT 3D
MISSOULA, MT, 598012751
Browse MT providers · Browse ZIP 59801
Phone
4064387669
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in MISSOULA, MT

Name Credential NPI
MS. BRENDA C BINKERD 1902022577
DR. ROBERT B CURRY M.D. 1659520138
ASHLEY DOROTHY SLOCUM MASTER'S STUDENT 1073763124
CONN BOWMAN 1417493263
STEPHANIE SWINDELL 1063959328
MADISON MCCARTHY 1083151138
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.