Provider Demographics
NPI:1922000835
Name:BILLS-KAZIMI, KAY (PA)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:
Last Name:BILLS-KAZIMI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 NEILL AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3381
Mailing Address - Country:US
Mailing Address - Phone:406-443-5354
Mailing Address - Fax:406-443-5727
Practice Address - Street 1:33 NEILL AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3381
Practice Address - Country:US
Practice Address - Phone:406-443-5354
Practice Address - Fax:406-443-5727
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT130363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTS36213Medicare UPIN