Kietzman, Karen Johnson
Kietzman, Karen Johnson is an sole proprietor health care provider with primary practice located at 2475 Village Ln Suite 104, Billings MT 59102-2497. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kietzman, Karen Johnson can be contacted via phone (406) 248-4153.Contact Information
Primary practice address
2475 Village Ln Suite 104
Billings MT 59102-2497
Phone: (406) 248-4153
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 273 | Montana |
Profile Details
| NPI number | 1508878315 |
|---|---|
| LBN Legal business name | Kietzman, Karen Johnson |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Feb 7th, 2025 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508878315 | NPPES |
| Montana | Other | 104140 | NEW WEST HEALTH SERVICES |
| Montana | Other | 50931 | NEW WEST HEALTH SERVICES |
| Montana | MEDICAID | 0493337 | NEW WEST HEALTH SERVICES |
| Montana | Other | 141721 | NEW WEST HEALTH SERVICES |
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