NPI

Kelsey Jo Fraser

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
DDS
Type
Individual
Enumeration date
2017-06-10
Last updated
2019-06-26

Specialties

Licenses

License MT
DEN-DEN-LIC-13445
License MT
13445

Location

Practice location
515 N Broadway Ave Ste 4
City
Red Lodge MT
Postal code
59068
Phone
(406) 662-0272

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Red Lodge, MT. 79 records in the public file.

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