Provider Demographics
NPI:1033617808
Name:MUHONEN, ADAM
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:MUHONEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 10TH AVE W
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-5239
Mailing Address - Country:US
Mailing Address - Phone:406-314-5995
Mailing Address - Fax:
Practice Address - Street 1:720 10TH AVE W
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-5239
Practice Address - Country:US
Practice Address - Phone:406-314-5995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-26
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)