Banks, Kelly L

Banks, Kelly L is an individual health care provider with primary practice located at 925 Highland Blvd Ste 1200, Bozeman MT 59715-6900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Banks, Kelly L can be contacted via phone (406) 587-0704.

Contact Information

Primary practice address
925 Highland Blvd Ste 1200 Bozeman MT 59715-6900
Fax: (406) 587-1147
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 6438 Montana

Profile Details

NPI number 1487651766
LBN Legal business name Banks, Kelly L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Sep 18th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487651766 NPPES
Montana MEDICAID 0085748

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