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Kim T Conlin, PA-C

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

NPI number1497065072
StatusActive
Last updated in NPPESJan 23, 2021

Details

NPI
1497065072
Entity type
Individual (NPI-1)
Name
Kim T Conlin
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 15, 2010
Certification date
Jan 23, 2021
Last updated
Jan 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant630MTYes

Practice location

1648 Ellis St Ste 201
Bozeman, MT 59715-8811

Phone 406-587-8631 · Fax 406-587-1343

Mailing address

1648 Ellis St Ste 201
Bozeman, MT 59715-8811

Phone 406-587-8631 · Fax 406-587-1343

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