NPI 1093979619 · live from the CMS NPI Registry
Kellie Marie Hadnot, O.D.
Optometrist in Missoula, MT. National Provider Identifier 1093979619, active.
NPI record
| NPI | 1093979619 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2106 Oxford St, Missoula, MT 59801 |
| Practice phone | 406-549-2541 |
| Mailing address | 2829 Great Northern Loop, Ste 100, Missoula, MT 59808 |
| Enumerated | July 13, 2008 |
| Last updated | October 15, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 817 (MT) |
| Optometrist | 152W00000X | 3265ATI (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.