Individual
MRS. KIM KALLESTAD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
925 HIGHLAND BLVD, SUITE 1200, BOZEMAN, MT 59715-6900
(406) 587-0704
(406) 587-1147
Mailing address
925 HIGHLAND BLVD, SUITE 1200, BOZEMAN, MT 59715-6900
(406) 587-0704
(406) 587-1147
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN15264
MT
Other
Enumeration date
01/06/2006
Last updated
07/08/2007
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