NPI 1659327609 · live from the CMS NPI Registry
Kimberly Blakeslee, D.O.
Family Medicine in Missoula, MT. National Provider Identifier 1659327609, active.
NPI record
| NPI | 1659327609 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2230 N Reserve St, Suite 402, Missoula, MT 59808 |
| Practice phone | 406-721-0533 |
| Mailing address | 2827 Fort Missoula Rd, Missoula, MT 59804 |
| Enumerated | May 25, 2006 |
| Last updated | October 2, 2007 |
| Sole proprietor | No |
| Other names | Kimberly Ravitz |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 9618 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.