Individual
KIRA A. CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
305 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1900
(406) 563-7282
(406) 563-7243
Mailing address
401 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1931
(406) 563-8528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41867
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548526387
NPI
MT
01
—
41867
STATE LICENSE
MT
Enumeration date
04/05/2012
Last updated
02/11/2019
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