Provider Demographics
NPI:1003173717
Name:MOWERY, JAMES KEVIN (RN)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:KEVIN
Last Name:MOWERY
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VA MONTANA MEDICAL CENTER EMERGENCY DEPARTMENT
Mailing Address - Street 2:3687 VETERANS DRIVE PO BOX 1500
Mailing Address - City:FT HARRISON
Mailing Address - State:MT
Mailing Address - Zip Code:59636
Mailing Address - Country:US
Mailing Address - Phone:406-447-7472
Mailing Address - Fax:
Practice Address - Street 1:VA MONTANA MEDICAL CENTER EMERGENCY DEPARTMENT
Practice Address - Street 2:3687 VETERANS DRIVE
Practice Address - City:FT HARRISON
Practice Address - State:MT
Practice Address - Zip Code:59636
Practice Address - Country:US
Practice Address - Phone:406-447-7472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.344716163W00000X
MTNUR-RN-LIC-68023163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163W00000XNursing Service ProvidersRegistered Nurse