Individual
MARK ANDREW KEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
RR 1 BOX 67, HARLEM, MT 59526-9705
(406) 353-3100
(406) 353-3229
Mailing address
PO BOX 35, SUNBURST, MT 59482-0035
(406) 937-3610
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
363
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363
LICENSE
MT
Enumeration date
03/18/2007
Last updated
02/01/2008
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