NPI 1821492125

Kim Salloux Lac

Organisation Preferred Provider Organization Livingston, MT

Practice location

Address: 109 W Callender Suite 2e, Livingston, MT 59047
Phone: (415) 846-7288
Mailing address: 214 S 7th, Livingston, MT 59047

Authorised official

Name: Kim Grether Salloux
Title: Owner
Phone: (415) 845-7288

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 32222 (MT)

Other Preferred Provider Organization providers in Montana →

Registry record

NPI: 1821492125
Entity type: Organization
NPI issued: 15 Oct 2014
Record last updated: 15 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.