Individual
KEVIN RUSSELL HAYWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
307 MONTANA AVE, LIBBY, MT 59923-2037
(406) 293-5582
Mailing address
108 E 9TH ST STE 1, LIBBY, MT 59923-2019
(406) 293-3113
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
88015
MT
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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