Individual
INGRID KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1300 W 3RD ST, ANACONDA, MT 59711-1804
(406) 240-8738
Mailing address
1300 W 3RD ST, ANACONDA, MT 59711-1804
(406) 240-8738
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
120196
NV
314000000X
Skilled Nursing Facility
1047
HI
314000000X
Skilled Nursing Facility
Primary
OC012789
PA
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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