Provider Demographics
NPI:1376598433
Name:MCKERROW, AMY K (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:K
Last Name:MCKERROW
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:350 HERITAGE WAY
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901
Mailing Address - Country:US
Mailing Address - Phone:406-752-8456
Mailing Address - Fax:406-752-1443
Practice Address - Street 1:350 HERITAGE WAY
Practice Address - Street 2:SUITE 2300
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901
Practice Address - Country:US
Practice Address - Phone:406-752-8456
Practice Address - Fax:406-752-1443
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2023-11-27
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Provider Licenses
StateLicense IDTaxonomies
MT10770208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT99878OtherBLUE CROSS
MT145795Medicaid
MT84868Medicare ID - Type Unspecified
H58674Medicare UPIN