Evans, Kenneth D

Evans, Kenneth D is an individual health care provider with primary practice located at 3000 15Th Ave S , Great Falls MT 59405-5240. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Evans, Kenneth D can be contacted via phone (406) 454-2171.

Contact Information

Primary practice address
3000 15Th Ave S Great Falls MT 59405-5240
Phone: (406) 454-2171
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 3095 Montana
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 3295 Montana

Profile Details

NPI number 1194168013
LBN Legal business name Evans, Kenneth D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2013
Last updated May 2nd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194168013 NPPES
Montana MEDICAID 1194168013

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