Individual
KELLY MARIE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
2316 US HIGHWAY 93 N, KALISPELL, MT 59901-2547
(406) 755-5661
(406) 755-5674
Mailing address
PO BOX 10338, KALISPELL, MT 59904-3338
(406) 755-5661
(406) 755-5674
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NURAPRNLIC102585
MT
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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