Individual
KYLEE MAUREEN BAKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 29TH ST S, GREAT FALLS, MT 59405-5315
(406) 771-3252
Mailing address
19 N WISCONSIN ST, CONRAD, MT 59425-1829
(406) 781-3998
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP60854096
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
NUR-APRN-LIC-176062
MT
Other
Enumeration date
07/13/2018
Last updated
02/19/2024
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