Individual
KYRA K HAGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 S LOCUST ST, CASPER, WY 82604-2810
(307) 262-1736
(307) 262-1736
Mailing address
1115 S LOCUST ST, CASPER, WY 82604-2810
(307) 262-1736
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WY
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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