Individual
MRS. KIMBERLEY FAITH MINGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
828 MCINTOSH RD, POWELL, WY 82435-9345
(307) 754-3331
(307) 754-2459
Mailing address
828 MCINTOSH RD, POWELL, WY 82435-9345
(307) 754-3331
(307) 754-2459
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
05/01/2007
Last updated
09/11/2025
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