Individual
KYLIE ALLISON MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1020 E 2ND ST STE 201, CASPER, WY 82601-2955
(307) 233-0250
Mailing address
1020 E 2ND ST STE 201, CASPER, WY 82601-2955
(307) 233-0250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA060689
PA
363A00000X
Physician Assistant
Primary
PT1314
WY
Other
Enumeration date
03/26/2019
Last updated
11/25/2025
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