NPI 1023670577
Kian Dei Bertin
Practice location
- Address
- 32 Campus Dr, Missoula, MT 59812-7856
- Phone
- (406) 720-0168
- Mailing address
- 3000 Washburn St APT 11, Missoula, MT 59801-7856
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1023670577
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Jul 2019
- Record last updated
- 5 Jul 2019
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.