Individual
MARK KANETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 751-5391
(406) 751-2988
Mailing address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 751-5391
(406) 751-2988
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
9820
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000096141
BCBS
MT
05
—
0038046
—
MT
Enumeration date
08/09/2006
Last updated
06/20/2016
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