Healthcare Provider Details

I. General information

NPI: 1417958745
Provider Name (Legal Business Name): KISMET BIL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 05/17/2023
Certification Date: 05/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S 27TH ST
BILLINGS MT
59101
US

IV. Provider business mailing address

600 S 27TH ST
BILLINGS MT
59101-4508
US

V. Phone/Fax

Practice location:
  • Phone: 406-259-8000
  • Fax:
Mailing address:
  • Phone: 406-259-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number9466
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MICHAEL MOORE
Title or Position: CFO
Credential:
Phone: 605-642-7736