NPI 1033855028

Kandis Grose Ms Rd Ln LLC

Organisation Registered Dietitian Stevensville, MT

Practice location

Address: 649 Middle Burnt Fork Rd, Stevensville, MT 59870
Phone: (406) 839-3851
Mailing address: PO Box 44, Stevensville, MT 59870-0044

Authorised official

Name: Kandis Grose
Title: Owner
Phone: (406) 839-3851

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Montana →

Registry record

NPI: 1033855028
Entity type: Organization
NPI issued: 11 May 2022
Record last updated: 11 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.