Individual
JENNIFER KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LN, CLC
Contact information
Practice address
825 W KENT AVE, MISSOULA, MT 59801
(406) 241-2495
(406) 721-0055
Mailing address
825 W KENT AVE, MISSOULA, MT 59801-6619
(406) 241-2495
(406) 721-0055
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
MED-NUTR-LIC-36063
MT
Other
Enumeration date
02/23/2018
Last updated
11/30/2018
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