IndividualActive
Kellan Clark, DO
NPI 1134539091 · Urology Physician · Hamilton, MT
Provider details
- NPI number
- 1134539091
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- MED-PHYS-LIC-71931 (MT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1200 Westwood Dr Ste F
Hamilton, MT 59840-2345
Phone: (406) 375-2930
Fax: (406) 375-4525
Approximate (ZIP-level) locationGet directions
Mailing address
1200 Westwood Dr
Hamilton, MT 59840-2345
Registry dates
- Enumerated
- 2014-04-30
- Last updated
- 2024-11-12
- Certified
- 2024-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.