Kristene Provo, PAC

Individual Active
NPI 1528002821
Medical Physician Assistant Missoula, MT

Kristene Provo, PAC holds NPI 1528002821, with a primary taxonomy of medical physician assistant and a practice location in Missoula, MT. The number was issued on June 16, 2006 and the NPPES record was last updated on February 29, 2024. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 126 (MT)

Practice locations

2835 Fort Missoula Road
Missoula, MT 59804-7408
Phone: (406) 721-5600
1211 S Reserve St Ste 101
Missoula, MT 59801-3103
Phone: (406) 327-3057

Local context

Active NPPES records list 35 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 30 of them within 10 miles.

The same primary taxonomy is listed by 279 in Montana and 40,076 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Kristene A Provo
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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