OrganizationActive
Kandis Grose Ms Rd Ln LLC
NPI 1033855028 · Registered Dietitian · Stevensville, MT
Provider details
- NPI number
- 1033855028
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Kandis Grose, Owner(406) 839-3851
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
649 Middle Burnt Fork Rd
Stevensville, MT 59870
Phone: (406) 839-3851
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 44
Stevensville, MT 59870-0044
Registry dates
- Enumerated
- 2022-05-11
- Last updated
- 2022-05-11
- Certified
- 2022-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.