Provider Demographics
NPI:1437239282
Name:BIRKY, PERRY KEITH (MD)
Entity Type:Individual
Prefix:
First Name:PERRY
Middle Name:KEITH
Last Name:BIRKY
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 1:210 SUNNYVIEW LN STE 201
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-3128
Mailing Address - Country:US
Mailing Address - Phone:406-858-8200
Mailing Address - Fax:406-858-6803
Practice Address - Street 1:210 SUNNYVIEW LN STE 201
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3128
Practice Address - Country:US
Practice Address - Phone:406-858-8200
Practice Address - Fax:406-858-6803
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT4586207VG0400X
MTMED-PHYS-LIC-4586207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1437239282OtherBCBS
MT1437239282Medicaid
MT1437239282Medicaid