Individual
JASON GARY KJONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
1401 25TH ST S, GREAT FALLS, MT 59405-5183
(406) 731-8888
(406) 731-8318
Mailing address
PO BOX 6010, GREAT FALLS, MT 59406-6010
(406) 455-4477
(406) 268-0084
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
284
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000901373
BCBS MT
MT
05
—
1427199009
—
MT
Enumeration date
02/08/2007
Last updated
04/08/2024
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