Individual
KRISTEL KISHBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 EDGERTON ST, BOULDER, MT 59632-7724
(406) 438-6710
Mailing address
PO BOX 1174, BOULDER, MT 59632-1174
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
196230
MT
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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