SearchWyoming171M00000X

Kyra Hageman

NPI 1023537453 · on the registry since 2017 · sole proprietor

Practice

Address
1115 S Locust St
Casper, WY 82604
Phone
(307) 262-1736
Fax
(307) 262-1736

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-09-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming