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Individual

REBECCA KANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
931 HIGHLAND BLVD STE 3130, BOZEMAN, MT 59715-6914
(406) 585-5070
Mailing address
931 HIGHLAND BLVD STE 3130, BOZEMAN, MT 59715-6914
(406) 585-5070

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7744
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0035646
MT
01
P00219541
MEDICARE RAILROAD
Enumeration date
08/03/2006
Last updated
10/11/2007
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