Provider Information for 1215613385
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Mrs. KELLY MARIE ROMINGER
Sex: Female
NPI: 1215613385
Last Updated: 2023-06-23
Certification Date: 2023-06-23
Certification Date: 2023-06-23
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1215613385 | ||||||||
| Enumeration Date | 2023-06-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1915 WASHINGTON ST # 635 FORT BENTON, MT 59442-9012 United States Phone: 406-561-7034 | Fax: | ||||||||
| Primary Practice Address | 1915 WASHINGTON ST FORT BENTON, MT 59442-9012 United States Phone: 406-561-7034 | Fax: | ||||||||
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