Individual provider · NPI-1
Dr. Kathryn Borgenicht, MD
Internal Medicine, Geriatric Medicine · Bozeman, MT
NPI number1073535019
StatusActive
Last updated in NPPESDec 15, 2011
Details
- NPI
- 1073535019
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kathryn Borgenicht
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2006
- Last updated
- Dec 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0300X | Internal Medicine, Geriatric Medicine | 9821 | MT | Yes |
| 207R00000X | Internal Medicine | 9821 | MT |
Practice location
905 Highland Blvd Ste 4500Bozeman, MT 59715-6903
Phone 406-522-2400
Mailing address
915 Highland BlvdBozeman, MT 59715-6902
Phone 406-522-2400
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