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Individual

KRYSTA DEVRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
620 S HAYNES AVE, MILES CITY, MT 59301
(406) 233-7070
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MED-PAC-LIC-35075
MT
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-35075
MT

Other

Enumeration date
10/07/2014
Last updated
12/14/2021
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