Individual
DR. KIMBERLY BLAKESLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2230 N RESERVE ST, SUITE 402, MISSOULA, MT 59808-1321
(406) 721-0533
(406) 728-4463
Mailing address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 728-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9618
MT
Other
Enumeration date
05/25/2006
Last updated
10/02/2007
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