Kenton Irvine

NPI #1689098253 in Ennis, Montana

Provider Information

NPI Number
1689098253
Entity Type
Individual
Name
Kenton Irvine
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Assisted Living Facility
Enumeration Date
Feb 18, 2014
Last Updated
Feb 18, 2014

Practice Location

Address
200 W FAGIN ST
City
Ennis
State
Montana
ZIP Code
59729-8923
Phone
(406) 539-7133

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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