NPI 1801602099

Shawn Edward Bairefoot

Practitioner Driver Kalispell, MT

Practice location

Address: 34 Appleway Dr APT 1, Kalispell, MT 59901-1608
Phone: (406) 309-1542

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 0607719744101 (MT)

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Registry record

NPI: 1801602099
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Dec 2024
Record last updated: 3 Dec 2024

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.