Organization
KEVIN T. EISELE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN T EISELE C-PED, OA (OWNER)
(406) 234-1895
Entity
Organization
Contact information
Practice address
2713 GUMFLAT RD, MILES CITY, MT 59301-2893
(406) 234-1895
(406) 234-1895
Mailing address
PO BOX 631, MILES CITY, MT 59301-0631
(406) 234-1895
(406) 234-1895
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/05/2007
Last updated
05/16/2012
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