Individual
KATHARINE CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
Mailing address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
K4E5S7C9
WY
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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