NPI 1134539091

Kellan Fitzgerald Clark, DO

Practitioner Urology Physician Hamilton, MT

Practice location

Address: 1200 Westwood Dr STE F, Hamilton, MT 59840-2345
Phone: (406) 375-2930
Fax: (406) 375-4525
Mailing address: 1200 Westwood Dr, Hamilton, MT 59840-2345

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MED-PHYS-LIC-71931 (MT)

Other Urology providers in Montana →

Registry record

NPI: 1134539091
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Apr 2014
Record last updated: 12 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.