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Individual

MR. KANYON R SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
6446 US HWY 93 SOUTH, WHITEFISH, MT 59937-8237
(406) 862-7655
(406) 862-9750
Mailing address
6446 US HWY 93 SOUTH, WHITEFISH, MT 59937-8237
(406) 862-7655
(406) 862-9750

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
984
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0163710
MT
01
40393
BLUE CROSS BLUE SHIELD
MT
Enumeration date
12/18/2006
Last updated
10/02/2023
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