Individual
KERRI PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
(307) 778-7501
Mailing address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
(307) 778-7501
Taxonomy
Speciality
Code
Description
License number
State
246W00000X
Cardiology Technician
Primary
145105
WY
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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