Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | LP00054 | RI |
N | 111NI0900X | Internist | LP00054 | RI |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 12737 | MT |
N | 207RC0000X | Internist - Cardiovascular Disease | 12737 | MT |
N | 207RC0000X | Internist - Cardiovascular Disease | 2009022642 | MO |
NPI | 1730305095 |
---|---|
Provider Name | Kristin Denice Scott-Tillery |
First Address | Billings, MT 59107-5100 |
Second Address | Billings, MT 59101-0905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 03/10/2017 |