Individual
KERRY J EBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 751-6725
(406) 758-5170
Mailing address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 751-6725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00042604
WA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
10956
MT
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD00042604
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000703
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8395675
—
WA
Enumeration date
10/27/2006
Last updated
10/21/2024
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