Healthcare Provider Details

I. General information

NPI: 1124393863
Provider Name (Legal Business Name): KELLE JOANN PLOTNER D.C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2012
Last Update Date: 03/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 KING PARK DR SUITE 2
BILLINGS MT
59102-6257
US

IV. Provider business mailing address

3053 HUNTERS RIDGE LOOP
BILLINGS MT
59102-6842
US

V. Phone/Fax

Practice location:
  • Phone: 307-349-3368
  • Fax: 888-520-6155
Mailing address:
  • Phone: 307-349-3368
  • Fax: 888-502-6155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number828
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: