Individual
KELLI ANNE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
107 RIDGEWATER DR, POLSON, MT 59860-8977
(406) 883-3737
(406) 883-2669
Mailing address
107 6TH AVE SW, RONAN, MT 59864-2634
(406) 676-4441
(406) 676-0835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41446
MT
Other
Enumeration date
04/24/2012
Last updated
10/14/2016
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