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Individual

KATHLEEN MAE INGALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
4220 HIGHWAY 2 WEST, KILA, MT 59920
(406) 471-8100
(866) 890-6494
Mailing address
PO BOX 491, KILA, MT 59920-0491
(406) 471-8100
(866) 890-6494

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1946PT
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61671
BLUE CROSS BLUE SHIELD
MT
Enumeration date
05/13/2006
Last updated
10/15/2008
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