Provider Demographics
NPI:1578332698
Name:KRISTEL MONTOYA LLC
Entity Type:Organization
Organization Name:KRISTEL MONTOYA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN MONTOYA
Authorized Official - Suffix:
Authorized Official - Credentials:PCA
Authorized Official - Phone:406-334-4314
Mailing Address - Street 1:PO BOX 774
Mailing Address - Street 2:
Mailing Address - City:LIBBY
Mailing Address - State:MT
Mailing Address - Zip Code:59923-0774
Mailing Address - Country:US
Mailing Address - Phone:406-334-4314
Mailing Address - Fax:
Practice Address - Street 1:336 BOULDER LN
Practice Address - Street 2:
Practice Address - City:LIBBY
Practice Address - State:MT
Practice Address - Zip Code:59923-9307
Practice Address - Country:US
Practice Address - Phone:406-334-4314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care