NPI 1942098652
Deserie Bonnie Kelley
Practice location
- Address
- 2210 Mullan Rd, Missoula, MT 59808-2059
- Phone
- (406) 493-7041
- Mailing address
- 401 Railroad St W, Missoula, MT 59802-4178
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1942098652
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Apr 2025
- Record last updated
- 30 Apr 2025
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.