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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 (9.764151102946 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.