Individual
JESSE T KIRKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DP
Contact information
Practice address
2241 FOOTHILL BLVD, 602, ROCK SPRINGS, WY 82901-5698
(307) 382-7888
(307) 382-7444
Mailing address
2241 FOOTHILL BLVD, 602, ROCK SPRINGS, WY 82901-5698
(307) 382-7888
(307) 382-7444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1488
WY
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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