Most Relevant Information
Provider Data
NPI Number: | 1003047960 |
Provider Name: | KEVIN MATTHEW CHIN D.O. |
Entity Type: | Individual |
Taxonomy Code: | 207Q00000X |
Specialty: | Family Medicine |
License Number: | MED-PHYS-LIC-12053 |
Most Important Dates
Enumeration Date: | 07/27/2009 |
Last Updated: | 12/22/2022 |
Provider Practice Location
601 W SPRUCE ST STE A
MISSOULA
MT
598024047
Practice Location Phone/Fax
Phone: | 4067283111 |
Fax: | 4067283116 |
Provider Mailing Location
PO BOX 12
LIBERTY LAKE
WA
990190012
Provider Mailing Phone/Fax
Phone: | 4067283111 |
Fax: | 4067283116 |
Suggested EMR
Family Practice EMR