KIMBERLY WALLIS PANKO MA NPI 1245840230

NPI Information

  • NPI: 1245840230
  • Provider Name: KIMBERLY WALLIS PANKO, MA
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7955 TOBY WAY
    MISSOULA, MT
    ZIP 59808
  • Phone: (406) 219-1302

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NPI Details

Kimberly Wallis Panko, MA is a professional counselor in Missoula, MT with 16 years of experience. Kimberly Wallis Panko, MA NPI is 1245840230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7955 TOBY WAY
MISSOULA, MT
ZIP 59808-024
Phone: (406) 219-1302

The NPI 1245840230 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/4/2020 and was last updated on 10/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorBBH-LCPC-LIC-50086MONTANANo
2101YA0400XCounselorAddiction (Substance Use Disorder)4630ALASKANo
3101YM0800XCounselorMental Health169890ALASKANo
4101YP2500XCounselorProfessionalBBH-LCPC-LIC-50086MONTANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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