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Kaitlin Wallace
NPI 1033882956 · on the registry since 2021
Practice
- Address
- 918 W Brundage Ln
Sheridan, WY 82801 - Phone
- (307) 673-4420
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-27
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