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

Mallery Butler Knoll, PA-C

Individual provider Physician Assistant · NPI 1285142752

Mallery Butler Knoll, PA-C is a Physician Assistant in Kalispell, Montana. Qualified in 2018, 8 years ago. Practices with Kalispell Regional Medical Center Inc, a 418-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Montana.

Years since qualifying
8
Licensed in
AZ, MT
In the registry since
2018
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

350 Heritage Way Ste 2100
Kalispell, MT 59901-3167
Phone: (406) 257-8992
Fax: (406) 257-8996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6320 N La Cholla Blvd Ste 300, Tucson, AZ 85741-3552 — (520) 545-0953

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MED-PAC-LIC-103155 (MT)
Physician Assistant Taxonomy 363A00000X · Licence 7332 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1285142752
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 17, 2018
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Kalispell Regional Medical Center Inc — 418 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Kalispell