Organization
MILKY WAY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRA M KNOWLES FNP, IBCLC (OWNER)
(702) 540-9957
Entity
Organization
Contact information
Practice address
9785 BISON RD, SHEPHERD, MT 59079-3106
(702) 540-9957
Mailing address
9785 BISON RD, SHEPHERD, MT 59079-3106
(702) 540-9957
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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