| Doctor Name: | MR. TIMOTHY JAMES KUROKAWA |
| NPI Number: | 1477585644 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-C |
| License Number: | RN11344 |
| Business Practice Address: | Box 729 Wolf Point, MT - 59201 |
| Business Phone Number: | 4066531641 |
| Business Fax Number: | 4066533728 |
| Mailing Address: | 550 6th Avenue North, WOLF POINT |
| State: | MT |
| Postal Code: | 59201 |
| Phone Number: | 4066531641 |
| Fax Number: | 4066533728 |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 09/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN11344 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |