Kelsie O'Connell
Technician/Technologist, Optician in Hamilton, MT. Individual provider (NPI-1).
NPI number1831770965
StatusActive
Last updated in NPPESApr 20, 2021
Details
- NPI
- 1831770965
- Entity type
- Individual (NPI-1)
- Name
- Kelsie O'Connell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2021
- Certification date
- Apr 20, 2021
- Last updated
- Apr 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
Practice location
120 S 5th St Ste 104Hamilton, MT 59840-2798
Phone 406-363-3366 · Fax 406-541-3811
Mailing address
700 W Kent AveMissoula, MT 59801-6772
Phone 406-541-3937 · Fax 406-541-3811
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