Individual
DR. RICHARD WAYNE KEARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405
(406) 731-8888
(406) 731-8318
Mailing address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 731-8888
(406) 731-8318
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
05113R
LA
207RP1001X
Pulmonary Disease Physician
05113R
LA
207RP1001X
Pulmonary Disease Physician
4301114734
MI
207RP1001X
Pulmonary Disease Physician
Primary
55604
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01836064
—
MS
05
—
1306282
—
LA
Enumeration date
09/20/2005
Last updated
09/16/2019
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