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Kenny Joe Wallen, DNP
Interventional Pain Medicine Physician in Dillon, Montana
NPI 1649628553

Kenny Joe Wallen is a Interventional Pain Medicine Physician based in Bozeman, MT and is specialized in Interventional Pain Medicine. Kenny Joe Wallen practices in Dillon, MT and has the professional credentials of DNP. The NPI Number for Kenny Joe Wallen is 1649628553 and holds a License No. 132231 (Montana).

The current practice location address for Kenny Joe Wallen is 600 State Hwy 91 S, Dillon, MT and can be reached out via phone at 406-683-3000. You can also correspond with Kenny Joe Wallen through the mailing address at 386 WHITE HORSE LOOP, BOZEMAN, MT - 59718-1223 (mailing address contact number: 918-906-1697).

Location: 600 State Hwy 91 S, Dillon, MT, 59718-1223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649628553
Provider Name
Kenny Joe Wallen
Credential
DNP
Provider Entity Type
Individual
Gender
Male
Address
600 State Hwy 91 S, Dillon, MT, 59718-1223
Phone Number
406-683-3000
Fax Number
Provider Enumeration Date
06/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
600 State Hwy 91 S
City
Dillon
State
Montana
Zip
59725-7379
Phone Number
406-683-3000
Fax Number
person
Provider Business Mailing Address Details
Address
600 State Hwy 91 S
City
Dillon
State
Montana
Zip
59725-7379
Phone Number
406-683-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
208VP0014X
License No.
132231 (Montana)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
132231 (Montana)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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600 Mt Highway 91 S,
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59725-7379
406-683-3000
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