Clark, Kellan Fitzgerald
Clark, Kellan Fitzgerald is an individual health care provider with primary practice located at 215 N 10Th St Ste A , Hamilton MT 59840-2328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Clark, Kellan Fitzgerald can be contacted via phone (406) 375-2930.Contact Information
Primary practice address
215 N 10Th St Ste A
Hamilton MT 59840-2328
Phone: (406) 375-2930
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 71931 | Montana |
Profile Details
| NPI number | 1134539091 |
|---|---|
| LBN Legal business name | Clark, Kellan Fitzgerald |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2014 |
| Last updated | May 12th, 2021 - about 3 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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