HomeNPI Verification
NPI Verification
National Provider Identifier: 1134539091
Kellan Fitzgerald Clark, DO
Individual Provider
Credentials
DO
Primary Specialty
Urology
Code: 208800000X
Practice Address
1200 WESTWOOD DR STE F
HAMILTON, MT 598402345
Phone: 406-375-2930
NPI Enumeration Date
April 30, 2014
NPI Number
1134539091Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry