Search › Wyoming › 1041C0700X
Kelly Buckingham
NPI 1568786770 · on the registry since 2010
Practice
- Address
- 1876 S Sheridan Ave
Sheridan, WY 82801 - Phone
- (307) 672-0475
- Fax
- (307) 674-6867
- Organisation at this address
- Northern Wyoming Mental Health Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
1041C0700X - Licence states on file
- WY, ND
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-21
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