Individual
MRS. KALLY MARIE HASENKRUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2720 10TH AVE S, GREAT FALLS, MT 59405-3240
(406) 731-8888
(406) 731-8318
Mailing address
2720 10TH AVE S, PEDIATRICS, GREAT FALLS, MT 59405-3240
(406) 731-8888
(406) 731-8318
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
32763
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
100684
MT
Other
Enumeration date
07/24/2012
Last updated
04/08/2024
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