Kelly R Etzel in Missoula - Physician Assistant
Kelly R Etzel - NPI 1639285281
Kelly R Etzel is a Physician Assistant in Missoula, Montana. Kelly R Etzel practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly R Etzel is 1639285281. The last update date is 2007-07-08.
Kelly R Etzel's current location address is 2827 Fort Missoula Rd, Missoula, Montana. You can contact this provider via phone number 4067284100. The mailing address for Kelly R Etzel is 2827 Fort Missoula Rd, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly R Etzel |
|---|---|
| Address | 2827 Fort Missoula Rd, Missoula, Montana |
| Phone Number | 4067284100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1639285281 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2827 Fort Missoula Rd |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598047408 |
| Phone Number | 4067284100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 165 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kelly R Etzel?
The Kelly R Etzel has been issued the NPI (National Provider Identifier) 1639285281 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Kelly R Etzel's physical address?
The Kelly R Etzel is physically located at 2827 Fort Missoula Rd, in the city of Missoula, MT, with the postal code 598047408.
What is Kelly R Etzel's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kelly R Etzel is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did Kelly R Etzel receive its 1639285281 assignment from the Centers for Medicare & Medicaid Services?
The Kelly R Etzel was assigned its 1639285281 on 2006-08-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Kelly R Etzel's information last updated?
The Kelly R Etzel's information was last updated on 2007-07-08.