Individual
KELLY CORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCHIS
Contact information
Practice address
3001 HENDERSON DR, SUITE K, CHEYENNE, WY 82001-5840
(307) 634-7550
(307) 634-4463
Mailing address
3001 HENDERSON DR, SUITE K, CHEYENNE, WY 82001-5840
(307) 634-7550
(307) 634-4463
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
142
WY
237700000X
Hearing Instrument Specialist
429H
SD
237700000X
Hearing Instrument Specialist
698
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124021800
—
WY
Enumeration date
10/19/2016
Last updated
10/19/2016
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