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Individual

KATHLEEN IRENE WALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1369 HARRISON AVE, BUTTE, MT 59701-4875
(406) 723-6600
(406) 723-6660
Mailing address
1830 HANCOCK AVE, BUTTE, MT 59701-5147
(406) 782-7705

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
353
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
569400
MT
Enumeration date
05/11/2007
Last updated
11/02/2012
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