Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellan Fitzgerald Clark, DO

Individual provider Urology Physician · NPI 1134539091

Kellan Fitzgerald Clark, DO is an Urology in Hamilton, Montana. Graduated from Edward via Col of Osteo Medicine-Carolinas Campus in 2014, 12 years ago. Practices with Marcus Daly Memorial Hospital Corporation, a 97-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
12
Trained at
Edward via Col of Osteo Medicine-Carolinas Campus
Licensed in
MT
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1200 Westwood Dr Ste F
Hamilton, MT 59840-2345
Phone: (406) 375-2930
Fax: (406) 375-4525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MED-PHYS-LIC-71931 (MT)

Record details

NPI number1134539091
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 30, 2014
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024
Mailing address1200 Westwood Dr, Hamilton, MT 59840-2345

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated 2014 (12 years in practice)
Group practice Marcus Daly Memorial Hospital Corporation — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount