Healthcare Provider Details

I. General information

NPI: 1023639150
Provider Name (Legal Business Name): CARLEE KALBFLEISCH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2020
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 N MAIN ST
DARBY MT
59829-9542
US

IV. Provider business mailing address

1200 WESTWOOD DR
HAMILTON MT
59840-2345
US

V. Phone/Fax

Practice location:
  • Phone: 406-375-4142
  • Fax: 406-375-4143
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMED-PHYS-LIC-128057
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: