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

Kelly R Etzel

Individual provider Physician Assistant · NPI 1639285281

Kelly R Etzel is a Physician Assistant in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2006.

Licensed in
MT
In the registry since
2006

Practice location Address checks out

2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone: (406) 728-4100
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 165 (MT)

Record details

NPI number1639285281
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESJuly 8, 2007

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