Individual
MR. KALEB SHANE BIRNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CSS
Contact information
Practice address
710 S ATLANTIC ST, DILLON, MT 59725-3511
(406) 683-7329
Mailing address
15 AURORA LANE, DILLON, MT 59725-7354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT-LAT-LIC-1102
MT
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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