Provider Demographics
NPI:1720416068
Name:MILANI, KELLYN ALISON (ND)
Entity type:Individual
Prefix:DR
First Name:KELLYN
Middle Name:ALISON
Last Name:MILANI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3701 TRAKKER TRAIL
Mailing Address - Street 2:STE 1B PMB 45
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-9202
Mailing Address - Country:US
Mailing Address - Phone:406-624-6824
Mailing Address - Fax:406-548-9755
Practice Address - Street 1:1019 E MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3891
Practice Address - Country:US
Practice Address - Phone:406-624-6824
Practice Address - Fax:406-548-9755
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-24
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTAHC-NAT-LIC-979175F00000X
CAND717175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath