IndividualActive
Timothy Devries, PAC
NPI 1487644597 · Surgical Physician Assistant · Kalispell, MT
Provider details
- NPI number
- 1487644597
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- 622 (MT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
111 Sunnyview Ln
Kalispell, MT 59901-3164
Phone: (406) 752-7900
Fax: (406) 257-0253
Approximate (ZIP-level) locationGet directions
Mailing address
111 Sunnyview Ln
Kalispell, MT 59901-3164
Registry dates
- Enumerated
- 2005-10-28
- Last updated
- 2023-11-27
- Certified
- 2020-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.