NPI 1497555759

Kevin Russell Hayworth, EMT

Practitioner Basic Emergency Medical Technician Libby, MT

Practice location

Address: 307 Montana Ave, Libby, MT 59923-2037
Phone: (406) 293-5582
Mailing address: 108 E 9th St STE 1, Libby, MT 59923-2019

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 88015 (MT)

Other Emergency Medical Technician, Basic providers in Montana →

Registry record

NPI: 1497555759
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Mar 2025
Record last updated: 17 Mar 2025

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.