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KEITH FORKIN
NPI 1093252546
Student in an Organized Health Care Education/Training Program in Missoula, MT

Active since January 23, 2017
301 S 5TH ST E, APT 3D, MISSOULA, MT 59801(406) 438-7669 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith Forkin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH FORKIN (NPI 1093252546) is an individual student in an organized health care education/training program in Missoula, Montana and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1093252546
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEITH FORKIN
Location Address301 S 5TH ST E, APT 3DMissoula, MT 59801-2751
Mailing Address301 S 5th St E Apt 3dMissoula, MT 59801-2755
Phone(406) 438-7669
Sole ProprietorYes
Enumeration DateJanuary 23, 2017
✔ NPI 1093252546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
301 S 5TH ST E, Missoula, MT 59801
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Forkin's NPI number?

The NPI number for Keith Forkin is 1093252546. It was assigned to this individual provider in the NPPES registry on January 23, 2017.

Where is Keith Forkin located?

Keith Forkin practices at 301 S 5th St E Apt 3D, Missoula, MT 59801. The listed phone number is (406) 438-7669.

What is Keith Forkin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Keith Forkin was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.