Individual
KANDI SVENNINGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
107 H ST E, POPLAR, MT 59255
(406) 768-3491
Mailing address
PO BOX 326, FORT PECK, MT 59223-0326
(406) 526-3246
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR-RN-LIC-28165
MT
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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