Individual
KELLY BERGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCMT
Contact information
Practice address
3115 9TH AVE N, BILLINGS, MT 59101-0737
(406) 238-0001
(406) 238-0002
Mailing address
3115 9TH AVE N, BILLINGS, MT 59101-0737
(406) 238-0001
(406) 238-0002
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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