Individual
KYLE KONDRAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 HERITAGE WAY STE 1100, KALISPELL, MT 59901-3160
(406) 752-8900
(406) 752-8909
Mailing address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-4627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
155509
MT
207RH0003X
Hematology & Oncology Physician
Primary
155509
MT
Other
Enumeration date
04/13/2018
Last updated
08/18/2025
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