Individual
KENNY VINCENT MCGLOTHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2649 3RD ST NW, SIDNEY, MT 59270-5808
(406) 489-0073
Mailing address
2649 3RD ST NW, SIDNEY, MT 59270-5808
(406) 489-0073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
633
MT
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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