NPI 1558449124 · live from the CMS NPI Registry
Michael Stephen Kornish, M.D.
Emergency Medicine in Ronan, MT. National Provider Identifier 1558449124, active.
NPI record
| NPI | 1558449124 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 107 6th Ave Sw, Ronan, MT 59864 |
| Practice phone | 406-676-4441 |
| Mailing address | 111 Apple House Ln, Missoula, MT 59802 |
| Enumerated | November 1, 2006 |
| Last updated | February 26, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 7286 (MT) |
| Emergency Medicine primary | 207P00000X | 7286 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.