Kingsley, Carla M

Kingsley, Carla M is an sole proprietor health care provider with primary practice located at 4119 Fox Hollow Dr , Helena MT 59602-6006. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Kingsley, Carla M can be contacted via phone (406) 438-1250.

Contact Information

Primary practice address
4119 Fox Hollow Dr Helena MT 59602-6006
Fax: (406) 227-1591
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 34004184 Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 11657 Montana

Profile Details

NPI number 1174523849
LBN Legal business name Kingsley, Carla M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2005
Last updated Feb 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174523849 NPPES
Ohio Other 000000352645 ANTHEM
Ohio MEDICAID 0930738 ANTHEM

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