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Dr. Mark Donald Kishbaugh, PA-C
Physician Assistant in Boulder, Montana
NPI 1467410803

Mark Donald Kishbaugh is a Physician Assistant based in Boulder, MT. Mark Donald Kishbaugh practices in Boulder, MT and has the professional credentials of PA-C. The NPI Number for Mark Donald Kishbaugh is 1467410803 and holds a License No. 1960 (Montana).

The current practice location address for Mark Donald Kishbaugh is 214 S Main St, Boulder, MT and can be reached out via phone at 406-225-4201.

Location: 214 S Main St, Boulder, MT, 59632-0044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467410803
Provider Name
Mark Donald Kishbaugh
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
214 S Main St, Boulder, MT, 59632-0044
Phone Number
406-225-4201
Fax Number
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
68421532 05 CO
institution
Provider Business Practice Location Address Details
Address
214 S Main St
City
Boulder
State
Montana
Zip
59632-7640
Phone Number
406-225-4201
Fax Number
person
Provider Business Mailing Address Details
Address
214 S Main St
City
Boulder
State
Montana
Zip
59632-7640
Phone Number
406-225-4201
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
2500 (Colorado)
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
1960 (Arizona)
Definition
Definition to come...
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