KELLY R ETZEL
NPI 1639285281
Physician Assistant in Missoula, MT

Active since August 23, 2006
2827 FORT MISSOULA RD, MISSOULA, MT 59804(406) 728-4100 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly R Etzel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY R ETZEL (NPI 1639285281) is an individual physician assistant in Missoula, Montana, licensed in Montana (165) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1639285281
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY R ETZEL
Location Address2827 FORT MISSOULA RDMissoula, MT 59804-7408
Mailing Address2827 Fort Missoula RdMissoula, MT 59804-7408 · (406) 728-4100
Sole ProprietorNo
Enumeration DateAugust 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1639285281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MT · 165
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2827 FORT MISSOULA RD, Missoula, MT 59804

Other Identifiers 1

Medicare UPINS62655

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Radiation Oncology)
2827 FORT MISSOULA RD
MISSOULA, MT 59804
Speech-Language Pathologist
2827 FORT MISSOULA RD
MISSOULA, MT 59804
Emergency Medicine
2827 FORT MISSOULA RD
MISSOULA, MT 59804
Pathology (Anatomic Pathology & Clinical Pathology)
2827 FORT MISSOULA RD
MISSOULA, MT 59804
Internal Medicine
2827 FORT MISSOULA RD
MISSOULA, MT 59804
Surgery
2827 FORT MISSOULA RD, COMMUNITY MEDICAL CENTER
MISSOULA, MT 59804
Specialist
2827 FORT MISSOULA RD, SUITE 130
MISSOULA, MT 59804
Rehabilitation Unit
2827 FORT MISSOULA RD
MISSOULA, MT 59804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Etzel's NPI number?

The NPI number for Kelly Etzel is 1639285281. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Kelly Etzel located?

Kelly Etzel practices at 2827 Fort Missoula Rd, Missoula, MT 59804. The listed phone number is (406) 728-4100.

What is Kelly Etzel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelly Etzel was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.