Individual
KEELY KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 2ND AVE N STE 700, GREAT FALLS, MT 59401-3288
(406) 240-2045
Mailing address
PO BOX 6451, GREAT FALLS, MT 59406-6451
(406) 240-2045
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
09/20/2022
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