MS. KELLY POLUS


Address: 610 N California St, Missoula, MT 59802-3950
Phone: 4067211646

MS. KELLY POLUS (NPI# 1689770919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689770919
Entity Type Individual
Full Name MS. KELLY POLUS
Credential PAC
Practice Address 610 N California St
Missoula
MT 59802-3950
Practice Telephone 4067211646
Practice Fax Number 4065439890
Mailing Telephone 4067211646
Mailing Fax Number 4065439890
Enumeration Date 2006-09-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 397 MT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MT 4304604 05

Office Location

Street Address 610 N CALIFORNIA ST
City MISSOULA
State MT
Zip Code 59802-3950

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528625969 Nicole Joan Muskett Physician Assistant 610 N California St, Missoula, MT 59802-3950 2019-05-21
1992155980 Caitlin Marie Blau Family Medicine 610 N California St, Missoula, MT 59802 2016-06-21
1356721732 Andrea Strizich Social Worker 610 N California St, Missoula, MT 59802-3950 2015-06-01
1407987548 Blue Mountain Clinic, Inc. Family Medicine 610 N California St, Missoula, MT 59802-3950 2007-03-08
1780714071 Deanna Phinney Specialist 610 N California St, Missoula, MT 59802 2007-03-06
1801931977 Jean Paul Gourguechon Acupuncturist 610 N California St, Missoula, MT 59802-3950 2007-02-20
1215034681 Eric A. Ravitz Family Medicine 610 N California St, Missoula, MT 59802-3950 2006-09-20
1366548604 Laura Marx Nurse Practitioner 610 N California St, Missoula, MT 59802-3950 2006-09-15
1831295047 Lois Doubleday Counselor 610 N California St, Missoula, MT 59802-3950 2006-09-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154945921 Montana Endoscopy Center, Pllc Clinic/Center 1930 W Broadway, Ste B, Missoula, MT 59802 2020-06-08
1194364091 Tommie Lynn Perusich Nurse Practitioner 1120 Cedar St., Missoula, MT 59802 2019-12-26
1386122752 The Hope Health Alliance, Inc. Case Management 314 White House Ln, Missoula, MT 59802 2018-07-30
1881181444 Carol Anne Lesser Massage Therapist 1918 Birch St, Missoula, MT 59802 2018-04-19
1528587581 Missoula Aids Fund, Inc. Clinic/Center 1500 W. Broadway Suite A, Missoula, MT 59802 2017-09-11
1942740667 Gabrielle Shulman Counselor 415 N Higgins Ave Ste 14, Missoula, MT 59802 2017-02-28
1053798736 Endurance Physio Clinic/Center 214 E. Main St, Missoula, MT 59802 2015-05-01
1720481971 Anna Golding Counselor 1325 Wyoming Street, Missoula, MONTANA 59802 2014-10-02
1003255803 Jennifer Dawn Danielson Speech-Language Pathologist 2408 Duncan Drive, Missoula, MT 59802 2013-06-14
1437595725 Partnership Health Center Inc Clinic/Center 1150 Sherwood St, Missoula, MT 59802 2013-05-14
Find all providers in zip 59802

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891269973 Jason Enewold Physician Assistant 1424 Scott St, Missoula, MT 59802-2435 2019-01-11
1730664723 Katrin Johanna Kahl Physician Assistant 5005 Pattee Canyon Rd, Missoula, MT 59803-1811 2018-09-26
1710230107 Jennifer Culp Physician Assistant 900 N Orange St Ste 303, Missoula, MT 59802 2012-10-22
1629220488 Richard Lee Wiesemann II Physician Assistant 1555 Liberty Ln Ste C, Missoula, MT 59808-2001 2008-10-10
1083710313 Mindy Opper Physician Assistant 825 W. Kent St., Missoula, MT 59801-6619 2006-09-15
1447363916 Mary C Velk Physician Assistant 2835 Fort Missoula Rd Ste 202, Missoula, MT 59804-7424 2006-08-17
1477592236 Michael R Beckel Physician Assistant 900 N Orange St Ste 106, Missoula, MT 59802-2951 2006-06-06
1316933963 Jenifer Darlene Caldwell Physician Assistant 1224 Lincoln Rd, Missoula, MT 59802-3041 2005-09-20
1841841590 Jacklyn Joan Pfister Physician Assistant 1201 Wyoming St, Missoula, MT 59801-1727 2019-09-24
1245889484 Mitchell Mayfield Physician Assistant 2360 Mullan Rd Ste C, Missoula, MT 59808-1811 2019-09-10
Find all providers in MISSOULA

Competitor

Search similar providers

City MISSOULA
Zip Code 59802

Improve Information

Please comment or provide details below to improve the information on MS. KELLY POLUS.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches