Individual
KEVIN WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2019 S WASHINGTON ST, CASPER, WY 82601-4857
(307) 797-3380
Mailing address
2019 S WASHINGTON ST, CASPER, WY 82601-4857
(307) 797-3380
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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