Panko, Kimberly Wallis

Panko, Kimberly Wallis is an sole proprietor health care provider with primary practice located at 7955 Toby Way , Missoula MT 59808-5024. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Panko, Kimberly Wallis can be contacted via phone (406) 219-1302.

Contact Information

Primary practice address
7955 Toby Way Missoula MT 59808-5024
Phone: (406) 219-1302
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 169890 Alaska
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4630 Alaska
Behavioral Health & Social Service Providers / Counselor 101Y00000X BBH-LCPC-LIC-50086 Montana

Profile Details

NPI number 1245840230
LBN Legal business name Panko, Kimberly Wallis
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2020
Last updated Sep 8th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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