IndividualActive
Alexis Kirkeide, PA-C
NPI 1184404030 · Physician Assistant · Missoula, MT
Provider details
- NPI number
- 1184404030
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- MED-PAC-LIC-130246 (MT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3760 Mullan Rd Ste a
Missoula, MT 59808
Phone: (218) 790-8165
Approximate (ZIP-level) locationGet directions
Mailing address
1370 Marlin Ln Apt B
Missoula, MT 59804-4739
Registry dates
- Enumerated
- 2023-09-28
- Last updated
- 2024-10-04
- Certified
- 2024-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.