Healthcare Provider Details

I. General information

NPI: 1649454257
Provider Name (Legal Business Name): KENNETH HART LINDSEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2007
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 13TH ST
HAVRE MT
59501-5222
US

IV. Provider business mailing address

304 ROSEWATER LOOP
KALISPELL MT
59901-4696
US

V. Phone/Fax

Practice location:
  • Phone: 406-265-2211
  • Fax:
Mailing address:
  • Phone: 406-300-2798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number246453
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0433645
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMED-PHYS-COM-LIC-103
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number246453
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number103677
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: