IndividualActive
Kenton Irvine
NPI 1689098253 · Assisted Living Facility · Ennis, MT
Provider details
- NPI number
- 1689098253
- Entity type
- Individual
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12601 (MT)
Mailing address
200 W Fagin St
Ennis, MT 59729-8923
Registry dates
- Enumerated
- 2014-02-18
- Last updated
- 2014-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.