Individual
KELLY SUZANNE SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 COMMONS WAY STE B, KALISPELL, MT 59901-1915
(406) 752-5170
(406) 752-5210
Mailing address
200 COMMONS WAY STE B, KALISPELL, MT 59901-1915
(406) 752-5170
(406) 752-5210
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
13123
NV
207T00000X
Neurological Surgery Physician
Primary
54809
MT
2086S0120X
Pediatric Surgery Physician
54809
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13123NV
BLUE CROSS BLUE SHIELD
NV
05
—
207T0000X
—
NV
05
—
449672
—
AZ
Enumeration date
06/05/2007
Last updated
11/27/2023
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