KEITH MCDIVITT

BROWNING, MT
NPI1336204189
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MT  363LOOOOOX)
Enumeration Date2006-12-22
Last Update Date2007-07-09
Business Address
-- KEITH MCDIVITT NP
760 HOSPITAL CIRCLE BLACKFEET SERVICE UNIT
BROWNING, MT 59417-3630
Phone number: 406-338-6136
Mailing Address
-- KEITH MCDIVITT NP
114 4TH ST SW
CUT BANK, MT 59427-3630
Phone number: 406-873-9157