IndividualActive
Krystal Kackley, AGAC-NP
NPI 1902394455 · Acute Care Nurse Practitioner · Great Falls, MT
Provider details
- NPI number
- 1902394455
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGAC-NP
- Sex
- Female
- Sole proprietor
- No
- License
- 129430 (MT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1101 26th St S
Great Falls, MT 59405-5161
Phone: (406) 731-8888
Fax: (406) 731-8876
Approximate (ZIP-level) locationGet directions
Mailing address
1101 26th St S
Great Falls, MT 59405-5161
Registry dates
- Enumerated
- 2018-04-30
- Last updated
- 2024-04-08
- Certified
- 2021-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.