Individual
DR. LARRY WAYNE KINCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 PARK GARDEN RD, GREAT FALLS, MT 59404-3629
(406) 452-2529
Mailing address
1301 PARK GARDEN RD, GREAT FALLS, MT 59404-3629
(406) 452-2529
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4155
MT
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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