Provider Demographics
NPI:1659060572
Name:PROSSER, KELSI (AUD)
Entity Type:Individual
Prefix:
First Name:KELSI
Middle Name:
Last Name:PROSSER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 N 27TH ST STE E
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0100
Mailing Address - Country:US
Mailing Address - Phone:406-545-0155
Mailing Address - Fax:
Practice Address - Street 1:1101 N 27TH ST STE E
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0100
Practice Address - Country:US
Practice Address - Phone:406-545-0155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist