Individual
KELLY ANN KLAUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3017 PAXSON ST, MISSOULA, MT 59801-8325
(406) 325-0123
(406) 203-5085
Mailing address
PO BOX 31001, 4114, PASADENA, CA 91110-4114
(406) 325-0123
(406) 203-5085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4977
CO
363AM0700X
Medical Physician Assistant
4800
AZ
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-78377
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856096
—
AZ
Enumeration date
02/18/2011
Last updated
01/26/2026
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