Individual
KELLY ANN DINNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
107 DILWORTH ST, GLENDIVE, MT 59330-2053
(406) 345-8901
Mailing address
107 DILWORTH ST, GLENDIVE, MT 59330-2053
(406) 345-8901
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
510106908
MI
208600000X
Surgery Physician
Primary
99170
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841405891
—
MI
Enumeration date
05/13/2007
Last updated
01/03/2022
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