Provider Demographics
NPI:1831341296
Name:4 MY KIDS FAMILY PRACTICE PLLC
Entity type:Organization
Organization Name:4 MY KIDS FAMILY PRACTICE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FAMILY PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:BRONSON
Authorized Official - Suffix:
Authorized Official - Credentials:FNPC
Authorized Official - Phone:406-755-6774
Mailing Address - Street 1:95 INDIAN TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-2613
Mailing Address - Country:US
Mailing Address - Phone:406-755-6774
Mailing Address - Fax:406-257-2706
Practice Address - Street 1:95 INDIAN TRAIL RD
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-2613
Practice Address - Country:US
Practice Address - Phone:406-755-6774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center