DESERIE B KELLEY, Other Service Providers MISSOULA, MT

Contact Information

DESERIE B KELLEY

2210 MULLAN RD
MISSOULA, MT 59808-2059

Phone: 406-493-7041
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Other Service Providers	175T00000X

Indicates primary specialty

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NPI Profile & details for DESERIE B KELLEY · (Female)

NPI Number	`1942098652`
Status	Active
Credentials
Entity	Individual
Enumeration date	04/30/2025
Last updated	04/30/2025 - More than a year ago
Sole proprietor ¹	No
Identifiers	MT License # BBH-BHPS-CRT-78905
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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DESERIE B KELLEYOther Service Providers

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Specialty

Other Service Providers

NPI Profile & details for DESERIE B KELLEY · (Female)

Reviews for DESERIE B KELLEY

DESERIE B KELLEY
Other Service Providers