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Individual

KRISTIE L BODNAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
905 HIGHLAND BLVD STE 4500, BOZEMAN, MT 59715-6903
(406) 414-5150
(406) 414-5175
Mailing address
915 HIGHLAND BLVD, ATTN PFS CREDENTIALING, BOZEMAN, MT 59715-6902
(406) 414-5000

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
70401
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134194970
MT
Enumeration date
02/22/2006
Last updated
04/09/2025
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