Individual
KELLY IRONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
305 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1900
(406) 563-8686
(406) 563-8691
Mailing address
401 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1999
(406) 563-8500
(406) 563-8694
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
78401
MT
2084P0800X
Psychiatry Physician
78401
MT
2084P0804X
Child & Adolescent Psychiatry Physician
78401
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962849067
NPI
MT
01
—
78401
STATE LICENSE
MT
Enumeration date
05/29/2013
Last updated
11/20/2019
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