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Kenton Irvine
NPI 1689098253 · on the registry since 2014 · sole proprietor
Practice
- Address
- 200 W Fagin St
Ennis, MT 59729 - Phone
- (406) 539-7133
- Organisation at this address
- Generations
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Assisted Living Facility
310400000X
- Licence states on file
- MT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana