Healthcare Provider Details

I. General information

NPI: 1447637533
Provider Name (Legal Business Name): KELSEY MARIE HOFFMAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KELSEY MARIE CONLEY

II. Dates (important events)

Enumeration Date: 04/28/2015
Last Update Date: 08/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 12TH AVE N STE 140W
BILLINGS MT
59101-7507
US

IV. Provider business mailing address

2900 12TH AVE N STE 140W
BILLINGS MT
59101-7507
US

V. Phone/Fax

Practice location:
  • Phone: 406-237-5050
  • Fax: 406-238-6599
Mailing address:
  • Phone: 406-237-5050
  • Fax: 406-238-6599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number68212
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: