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Kristy Faddis

NPI 1225366925 · on the registry since 2009 · sole proprietor

Practice

Address
164 Country Way
Evanston, WY 82930
Phone
(307) 789-2875
Fax
(307) 789-2876
Clinicians at this address
2

Registry record

Primary taxonomy
385H00000X
385H00000X
Also registered as
385HR2055X
385HR2060X
385HR2065X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-11-18

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