Individual
KELLY C. O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
214 14TH AVE SW, SIDNEY, MT 59270-3521
(406) 488-2100
(406) 488-2125
Mailing address
216 14TH AVE SW, SIDNEY, MT 59270-3519
(406) 488-2100
(406) 488-2125
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G52153
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G521530
—
CA
01
—
40305
STATE LICENSE
MT
Enumeration date
11/01/2006
Last updated
08/08/2016
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