Provider Demographics
NPI:1275558215
Name:HATCH, KATHRYN F (MD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:F
Last Name:HATCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 12TH AVE N
Mailing Address - Street 2:SUITE 355W
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7506
Mailing Address - Country:US
Mailing Address - Phone:406-238-6470
Mailing Address - Fax:406-238-6499
Practice Address - Street 1:2900 12TH AVE N
Practice Address - Street 2:SUITE 355W
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7589
Practice Address - Country:US
Practice Address - Phone:406-238-6470
Practice Address - Fax:406-238-6499
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10795174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0146627Medicaid
MT000084894Medicare ID - Type Unspecified
MTI08468Medicare UPIN