Provider Demographics
NPI:1063453181
Name:SKONORD, KAREN (NP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:SKONORD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2282 US HIGHWAY 93 S APT 1
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-8536
Mailing Address - Country:US
Mailing Address - Phone:406-756-8721
Mailing Address - Fax:406-257-4054
Practice Address - Street 1:2282 US HIGHWAY 93 S APT 1
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901
Practice Address - Country:US
Practice Address - Phone:406-756-8721
Practice Address - Fax:406-257-4054
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN006655363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT432548Medicaid
MT000008762Medicare ID - Type Unspecified
MT432548Medicaid