Individual
TOMINA KINZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
550 6TH AVENUE NORTH, WOLF POINT, MT 59201
(406) 653-1641
(406) 653-3728
Mailing address
550 6TH AVENUE NORTH, WOLF POINT, MT 59201
(406) 653-1641
(406) 653-3728
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN23754
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2210068
—
MT
01
—
RN23754
STATE OF MONTANA
MT
Enumeration date
03/21/2008
Last updated
03/21/2008
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