Individual
CHEYENNE ROSE KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3000 15TH AVE S, GREAT FALLS, MT 59405-5240
(406) 454-2171
Mailing address
3000 15TH AVE S, GREAT FALLS, MT 59405-5240
(406) 454-2171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
91306
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2019
Last updated
11/30/2020
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