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NPI Code Detail

MEDICARE: MR. JAMES KEVIN MOWERY RN

MEDICARE:  MR. JAMES KEVIN MOWERY  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse041.344716IL
2163WE0003XEmergency Registered NurseNUR-RN-LIC-68023MT

General Provider Information

NPI Number : 1003173717
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES KEVIN MOWERY RN
Provider Business Mailing Address
First Line : VA MONTANA MEDICAL CENTER EMERGENCY DEPARTMENT
Second Line : 3687 VETERANS DRIVE PO BOX 1500
City : FT HARRISON
State : MT
Zip : 59636
Country : US
Telephone Number : 406-447-7472
Fax Number :
Provider Business Practice Location Address
First Line : VA MONTANA MEDICAL CENTER EMERGENCY DEPARTMENT
Second Line : 3687 VETERANS DRIVE
City : FT HARRISON
State : MT
Zip : 59636
Country : US
Telephone Number : 406-447-7472
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2012
Last Update Date : 08/26/2019

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