Individual
KENNETH D EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
317 S ORANGE ST, MISSOULA, MT 59801-1810
(406) 549-1951
(406) 542-5682
Mailing address
317 S ORANGE ST, MISSOULA, MT 59801-1810
(406) 549-1951
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3095
MT
237600000X
Audiologist-Hearing Aid Fitter
3095
MT
237700000X
Hearing Instrument Specialist
3295
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194168013
—
MT
Enumeration date
04/10/2013
Last updated
03/28/2025
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