Provider Demographics
NPI:1124393863
Name:PLOTNER, KELLE JOANN (DC)
Entity Type:Individual
Prefix:DR
First Name:KELLE
Middle Name:JOANN
Last Name:PLOTNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3053 HUNTERS RIDGE LOOP
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6842
Mailing Address - Country:US
Mailing Address - Phone:307-349-3368
Mailing Address - Fax:888-502-6155
Practice Address - Street 1:670 KING PARK DR
Practice Address - Street 2:SUITE 2
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6257
Practice Address - Country:US
Practice Address - Phone:307-349-3368
Practice Address - Fax:888-520-6155
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor