Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0001X | Dental Public Health | 13592 | MT |
Y | 1223G0001X | General Practice | 13592 | MT |
Y | 213EG0000X | General Practice | 13592 | MT |
N | 1223G0001X | General Practice | D9953 | OR |
N | 213EG0000X | General Practice | D9953 | OR |
NPI | 1477987931 |
---|---|
Provider Name | Dr. Kyle Stewart Denning |
First Address | Helena, MT 59601-4948 |
Second Address | Helena, MT 59601-4948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2013 |
Last Update Date | 16/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1477987931 | (05) | MT |