Individual
KIM MARIE EDELBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
209 N 10TH ST STE A, HAMILTON, MT 59840-2357
(406) 532-9101
(406) 363-4498
Mailing address
209 N 10TH ST STE A, HAMILTON, MT 59840-2357
(406) 532-9101
(406) 363-4498
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LPN-6571
MT
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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