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Dr. Kelly L Banks, MD

Surgery in Bozeman, MT. Individual provider (NPI-1).

NPI number1487651766
StatusActive
Last updated in NPPESSep 18, 2017

Details

NPI
1487651766
Entity type
Individual (NPI-1)
Name
Dr. Kelly L Banks
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 1, 2005
Last updated
Sep 18, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery6438MTYes

Practice location

925 Highland Blvd
Ste 1200
Bozeman, MT 59715-6900

Phone 406-587-0704 · Fax 406-587-1147

Mailing address

925 Highland Blvd
Suite 1100
Bozeman, MT 59715-6900

Phone 406-414-4550 · Fax 406-414-4599

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