Individual
MRS. JODI K LEEPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
111 SUNNYVIEW LN, KALISPELL, MT 59901-3164
(406) 752-7900
(406) 257-0253
Mailing address
70 VILLAGE LOOP RD, KALISPELL, MT 59901-2793
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-58794
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200430690A
—
KS
Enumeration date
11/18/2005
Last updated
02/16/2026
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