Healthcare Provider Details

I. General information

NPI: 1215812276
Provider Name (Legal Business Name): KELSEY COMBS CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 COOK AVE
BILLINGS MT
59102-4400
US

IV. Provider business mailing address

3440 COOK AVE
BILLINGS MT
59102-4400
US

V. Phone/Fax

Practice location:
  • Phone: 406-697-2807
  • Fax:
Mailing address:
  • Phone: 406-697-2807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number361704
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: