Provider Demographics
NPI:1548239015
Name:MCFADDEN, H. KENNETH (MD)
Entity Type:Individual
Prefix:DR
First Name:H. KENNETH
Middle Name:
Last Name:MCFADDEN
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 1:1600 HOSPITAL WAY
Mailing Address - Street 2:NORTH VALLEY HOSPITAL
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-7849
Mailing Address - Country:US
Mailing Address - Phone:406-863-3500
Mailing Address - Fax:406-862-7805
Practice Address - Street 1:1600 HOSPITAL WAY
Practice Address - Street 2:NORTH VALLEY HOSPITAL
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-0000
Practice Address - Country:US
Practice Address - Phone:406-863-3500
Practice Address - Fax:406-862-7805
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMT4450207R00000X
MT4450207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTM000007730Medicare UPIN
MTD96234Medicare UPIN