Individual
MARIA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 455-5000
Mailing address
PO BOX 6010, GREAT FALLS, MT 59406-6010
(406) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NUR-APRN-LIC-143284
MT
363LA2100X
Acute Care Nurse Practitioner
Primary
143284
MT
363LG0600X
Gerontology Nurse Practitioner
NUR-APRN-LIC-143284
MT
Other
Enumeration date
03/04/2019
Last updated
09/09/2025
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