Individual
KHANSA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(407) 771-6300
Mailing address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(407) 771-6300
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MED-RES-LIC-159294
MT
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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