Individual
KELLIE ARCHIBALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
403 SOMERS AVE, WHITEFISH, MT 59937-2756
(406) 250-2128
Mailing address
403 SOMERS AVE, WHITEFISH, MT 59937-2756
(406) 250-2128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
024493
MT
Other
Enumeration date
11/17/2007
Last updated
11/17/2007
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