Provider Demographics
NPI:1114010725
Name:AKEY, KENNETH V (MD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:V
Last Name:AKEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 OWL LOOP
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-6861
Mailing Address - Country:US
Mailing Address - Phone:770-683-3020
Mailing Address - Fax:833-341-1131
Practice Address - Street 1:159 OWL LOOP
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-6861
Practice Address - Country:US
Practice Address - Phone:949-633-4008
Practice Address - Fax:770-683-3019
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA784482080A0000X
MTMED-PHYS-LIC-913212080A0000X
CAA261032080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine