MEDICARE: KAYLI CARMEN CHRISTOPHEL PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	20668	MT

General Provider Information

NPI Number	:	1598009441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLI CARMEN CHRISTOPHEL PA-C

Provider Business Mailing Address
First Line	:	PO BOX 295
Second Line	:
City	:	GLASGOW
State	:	MT
Zip	:	59230-0295
Country	:	US
Telephone Number	:	406-642-0605
Fax Number	:	406-820-6223

Provider Business Practice Location Address
First Line	:	PO BOX 295
Second Line	:
City	:	GLASGOW
State	:	MT
Zip	:	59230-0295
Country	:	US
Telephone Number	:	406-642-0605
Fax Number	:	406-820-6223

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2012
Last Update Date	:	05/12/2026

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