Individual
KIM T CONLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1648 ELLIS ST STE 201, BOZEMAN, MT 59715-8811
(406) 587-8631
(406) 587-1343
Mailing address
1648 ELLIS ST STE 201, BOZEMAN, MT 59715-8811
(406) 587-8631
(406) 587-1343
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
630
MT
Other
Enumeration date
10/15/2010
Last updated
01/23/2021
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