Individual
KELLY GINGER FOLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
255 N 30TH ST, LARAMIE, WY 82072-5140
(307) 755-4540
Mailing address
1536 SHILO SPRINGS RD, LARAMIE, WY 82070-8599
(970) 290-1732
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10142A
WY
208000000X
Pediatrics Physician
DR0052775
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2010
Last updated
11/15/2022
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