Individual
KELLIE LEE ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
96 CLINIC RD N, BOX ELDER, MT 59521-8849
(406) 395-4486
(406) 395-4138
Mailing address
96 CLINIC RD N, BOX ELDER, MT 59521-8849
(406) 395-4486
(406) 395-4138
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
17988
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17988
RN
MT
Enumeration date
09/20/2017
Last updated
07/21/2022
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