Individual
ALEXIS J KIRKEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3760 MULLAN RD STE A, MISSOULA, MT 59808
(218) 790-8165
Mailing address
1370 MARLIN LN APT B, MISSOULA, MT 59804-4739
(218) 790-8165
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-130246
MT
Other
Enumeration date
09/28/2023
Last updated
10/04/2024
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