Individual
DR. KENNETH A ETHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1525 10TH AVE S, GREAT FALLS, MT 59405-2608
(406) 791-5139
Mailing address
1025 10TH AVENUE SOUTH, GREAT FALLS, MT 59405
(406) 791-5139
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
751
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807265600
—
ID
Enumeration date
02/19/2007
Last updated
10/27/2025
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