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Contact Information

MARK KANETA, MD
310 SUNNYVIEW LN
KALISPELL, MT59901-3129
 Phone: 406-751-5391
 Fax: 406-751-2988
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARK KANETA · (Male)

NPI Number 1992715114
Status Active
Credentials MD
Entity Individual
Enumeration date 08/09/2006
Last updated 06/20/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MT License # 9820
  • MT Medicaid 0038046
  • MT Other 000096141 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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