Kristel Kishbaugh, | |
207 Edgerton St, Boulder, MT 59632-7724 | |
(406) 438-6710 | |
Not Available |
Full Name | Kristel Kishbaugh |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 207 Edgerton St, Boulder, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699409995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 196230 (Montana) | Primary |
Entity Name | Western Montana Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912079328 PECOS PAC ID: 6507764453 Enrollment ID: O20031230000190 |
Entity Name | Mental Health Connections Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639880487 PECOS PAC ID: 7618338948 Enrollment ID: O20230802001483 |
Mailing Address | Practice Location Address |
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Kristel Kishbaugh, Po Box 1174, Boulder, MT 59632-1174 Ph: () - | Kristel Kishbaugh, 207 Edgerton St, Boulder, MT 59632-7724 Ph: (406) 438-6710 |
Mrs. Heather Noel Zufelt, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 W Hauser St., Boulder, MT 59632 Phone: 406-438-1829 | |
Veronica J Champer, MN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 South Main Street, Boulder, MT 59632 Phone: 406-225-4201 Fax: 406-225-9161 |