Healthcare Provider Details

I. General information

NPI: 1841137163
Provider Name (Legal Business Name): KONNOR ANDREW MAY DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4181 FALLON ST STE 3
BOZEMAN MT
59718-4400
US

IV. Provider business mailing address

4181 FALLON ST STE 3
BOZEMAN MT
59718-4400
US

V. Phone/Fax

Practice location:
  • Phone: 406-586-1531
  • Fax:
Mailing address:
  • Phone: 406-586-1531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHI-CHI-LIC-10101
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: