Individual
SANDRA KAY KENNEDY SAAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5755 SOUTH HWY 89, #15, JACKSON, WY 83001
(307) 200-1926
Mailing address
PO BOX 1973, WILSON, WY 83014-1973
(307) 200-1926
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1288343000
WY
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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