Individual
KELLY GUY SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1035 1ST AVE W STE 210, KALISPELL, MT 59901-5607
(406) 607-4900
Mailing address
2313 KISMET CT, KALISPELL, MT 59901-9073
(541) 324-6113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
132226
MT
Other
Enumeration date
01/04/2024
Last updated
01/24/2024
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