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Contact Information

KANDIS GROSE MS RD LN LLC
649 MIDDLE BURNT FORK RD
STEVENSVILLE, MT59870
 Phone: 406-839-3851
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KANDIS GROSE MS RD LN LLC

NPI # 1033855028
LBN Legal business name KANDIS GROSE MS RD LN LLC
Authorized official KANDIS GROSE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2022
Last updated 05/11/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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