Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 12154 | MT |
NPI | 1043456361 |
---|---|
Provider Name | Kurt D Lindsay |
First Address | Kalispell, MT 59901-1915 |
Second Address | Kalispell, MT 59901-1915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2008 |
Last Update Date | 26/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1043456361 | (05) | MT |
1043456361 | BCBS (01) | MT |