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Kyle Mcdermott, PROVIDER, OWNER

NPI 1295240067 · on the registry since 2017 · sole proprietor

Practice

Address
100 Valley View Ave
Evanston, WY 82930
Phone
(307) 677-5119

Registry record

Primary taxonomy
251C00000X
251C00000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-12-02

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