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Kellan Fitzgerald Clark, DO
Urology Physician in Hamilton, Montana
NPI 1134539091

Kellan Fitzgerald Clark is a Urology Physician based in Hamilton, MT. Kellan Fitzgerald Clark practices in Hamilton, MT and has the professional credentials of DO. The NPI Number for Kellan Fitzgerald Clark is 1134539091 and holds a License No. MED-PHYS-LIC-71931 (Montana).

The current practice location address for Kellan Fitzgerald Clark is 1200 Westwood Dr Ste F, Hamilton, MT and can be reached out via phone at 406-375-2930 and via fax at 406-375-4525.

Location: 1200 Westwood Dr Ste F, Hamilton, MT, 59840-2345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134539091
Provider Name
Kellan Fitzgerald Clark
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1200 Westwood Dr Ste F, Hamilton, MT, 59840-2345
Phone Number
406-375-2930
Fax Number
406-375-4525
Provider Enumeration Date
04/30/2014
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134539091 05 ID
100004016 05 MT
institution
Provider Business Practice Location Address Details
Address
1200 Westwood Dr Ste F
City
Hamilton
State
Montana
Zip
59840-2345
Phone Number
406-375-2930
Fax Number
406-375-4525
person
Provider Business Mailing Address Details
Address
1200 Westwood Dr Ste F
City
Hamilton
State
Montana
Zip
59840-2345
Phone Number
406-375-2930
Fax Number
406-375-4525
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
MED-PHYS-LIC-71931 (Montana)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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