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NPI 1245126416

NPI 1245126416 : KISS METHOD WOUND CARE & WELLNESS : GREAT FALLS, MT

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General NPI Number Information
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    NPI Number           |    1245126416
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    Entity Type          |    Organization 
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    Legal Business Name  |    KISS METHOD WOUND CARE & WELLNESS 
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Dates
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    Enumeration Date     |    06/16/2025
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    Last Update Date     |    10/15/2025
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Provider Practice Location Address
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    Address Line         |    401 15TH AVE S STE 108 
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    City                 |    GREAT FALLS
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    State                |    MT
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    Zip                  |    59405-4334
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    Country              |    US
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    Telephone            |    406-781-9846
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    Fax                  |    406-226-8524
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Provider Business Mailing Address
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    Address Line         |    401 15TH AVE S STE 108 
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    City                 |    GREAT FALLS
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    State                |    MT
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    Zip                  |    59405-4334
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    Country              |    US
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    Telephone            |    406-781-9846
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    Fax                  |    406-226-8524
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     AMANDA  MURRAY 
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    Credential           |    
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    Telephone            |    406-781-9846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163WW0000X
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    Taxonomy Name        |    Wound Care Registered Nurse
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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