Individual
DR. KELSI JEANETTE JORE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2819 GREAT NORTHERN LOOP STE 200, MISSOULA, MT 59808-1750
(406) 542-7525
(406) 829-0661
Mailing address
PO BOX 7817, MISSOULA, MT 59807-7817
(406) 542-7525
(406) 829-0661
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
73654
MT
208600000X
Surgery Physician
MD481377
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15957727
CAQH
—
Enumeration date
04/05/2018
Last updated
10/11/2024
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