Individual
KORTNEY ANN GAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2900 12TH AVE N STE 160W, BILLINGS, MT 59101-7508
(406) 237-4580
Mailing address
1629 SAINT JOHNS AVE, BILLINGS, MT 59102-5133
(406) 672-9315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
129815
MT
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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