Keith Mcdivitt, NP

NPI #1336204189 in Browning, Montana

Provider Information

NPI Number
1336204189
Entity Type
Individual
Name
Keith Mcdivitt, NP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Dec 22, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
760 HOSPITAL CIRCLE
Address 2
BLACKFEET SERVICE UNIT
State
Montana
ZIP Code
59417-3630
Phone
(406) 338-6136

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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