Individual
CARLA M KINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4119 FOX HOLLOW DR, HELENA, MT 59602-6006
(406) 438-1250
(406) 227-1591
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
11657
MT
207RC0000X
Cardiovascular Disease Physician
34004184
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000352645
ANTHEM
OH
05
—
0930738
—
OH
Enumeration date
07/26/2005
Last updated
02/28/2022
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