Individual provider · Type 1 NPI

Kenneth Bogart, PA

Physician Assistant · Missoula, MT

NPI number 1770520058 Active

Practice location

323 W Alder St
Missoula, MT 59802-4123

Call (406) 258-4191 Map

Fax (406) 258-4180

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X28 (MT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1770520058

Kenneth Bogart, PA's National Provider Identifier is 1770520058, issued on Jun 2, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Missoula, MT. The record was last updated on Jul 13, 2026.