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KELLEY FORD SHIPPEY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 HERITAGE WAY STE 2100, KALISPELL, MT 59901-3167
(406) 257-8992
(406) 257-8996
Mailing address
350 HERITAGE WAY STE 2100, KALISPELL, MT 59901-3167
(406) 257-8992
(406) 257-8996

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35354
SC
207R00000X
Internal Medicine Physician
MED-PHYS-LIC-70337
MT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35354
SC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
60172
KY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MED-PHYS-LIC-70337
MT
2080S0012X
Pediatric Sleep Medicine Physician
35354
SC
2080S0012X
Pediatric Sleep Medicine Physician
Primary
60172
KY
2080S0012X
Pediatric Sleep Medicine Physician
MED-PHYS-LIC-70337
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
353548
SC
Enumeration date
05/29/2007
Last updated
03/21/2025
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