Individual
KERISTYN J CARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1125 CHARLES AVE, WORLAND, WY 82401-4021
(307) 347-2449
(307) 347-6187
Mailing address
1125 CHARLES AVE, WORLAND, WY 82401-4021
(307) 347-2449
(307) 347-6187
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20520.0819
WY
Other
Enumeration date
06/18/2006
Last updated
06/07/2012
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