Individual
DR. MACKENZIE FAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
175 TIMBERWOLF PKWY, KALISPELL, MT 59901-1218
(406) 257-2020
(406) 257-5554
Mailing address
175 TIMBERWOLF PKWY, KALISPELL, MT 59901-1218
(406) 257-2020
(406) 257-5554
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4264
MT
Other
Enumeration date
06/08/2020
Last updated
10/23/2024
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