Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTENE A PROVO, PAC
ActiveKRISTENE A PROVO, PAC is a Medical Physician Assistant healthcare provider located in MISSOULA, Montana. NPI 1528002821 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MISSOULA, MT
Registration Details
- NPI Number
- 1528002821
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 16, 2006 (20.134381696094 yrs)
- Last Updated
- Feb 29, 2024
- License
-
126 (MT)
Practice Information
- Address
-
2835 FORT MISSOULA ROADMISSOULA, MT, 598047408Browse MT providers · Browse ZIP 59804
- Phone
- 4067215600
- Fax
- 4067213907
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in MISSOULA, MT
| Name | Credential | NPI |
|---|---|---|
| RUTH M WEST | PA | 1043215221 |
| PAULA S COLLEDGE | PA-C | 1952395758 |
| HEIDI J DRESCHER | P.A. | 1508854126 |
| ANN MAUREEN O'CONNOR | PA C | 1033170964 |
| NATASHA J MCKEE | PAC | 1144262734 |
| JANEL D MCCORMICK | PA-C | 1487680054 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.