Individual
DR. KYLE BODLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3401 AVENUE E, BILLINGS, MT 59102-6561
(406) 238-6600
Mailing address
3401 AVENUE E, BILLINGS, MT 59102-6561
(406) 238-6600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12740
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4062386600
PHONE NUMBER
MT
Enumeration date
07/03/2008
Last updated
07/29/2011
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