MR. KEVIN T EISELE CERTIFIED PEDORTHIST NPI 1750344669

NPI Information

MR. Kevin T Eisele, CERTIFIED PEDORTHIST is a specialist technologist other in Miles City, MT. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. MR. Kevin T Eisele, CERTIFIED PEDORTHIST NPI is 1750344669. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2713 GUM FLAT RD
MILES CITY, MT
ZIP 59301-893
Phone: (406) 234-1895
Fax: (406) 234-1895

The enumeration date for this NPI number is 4/11/2006 and was last updated on 12/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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