Individual
KOURTNEY EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 N MERIDIAN RD, KALISPELL, MT 59901-3532
(406) 755-5910
Mailing address
580 N MERIDIAN RD, KALISPELL, MT 59901-3532
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5228
MT
Other
Enumeration date
04/15/2024
Last updated
08/12/2024
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