Individual
KOLTEN WENCKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2900 12TH AVE N STE 140W, BILLINGS, MT 59101-7507
(406) 237-5050
Mailing address
2900 12TH AVE N STE 140W, BILLINGS, MT 59101-7507
(406) 237-5050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81226
LICENSE
MT
Enumeration date
01/22/2020
Last updated
03/07/2023
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