Individual
SHARON TAMABINE KUYKENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 CURTIS ST, EVANSVILLE, WY 82636-8574
(307) 258-5735
Mailing address
PO BOX 79, EVANSVILLE, WY 82636-0079
(307) 258-5735
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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