Individual
JESSE VIDIC KINSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
147 CASTLE RIDGE DR, LEWISTOWN, MT 59457-8606
(406) 564-5453
Mailing address
147 CASTLE RIDGE DR, LEWISTOWN, MT 59457-8606
(406) 564-5453
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR-RN-LIC-38036
MT
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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