Individual
KIMBERLY KRUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4017 RAWLINS ST, CHEYENNE, WY 82001-1800
(307) 635-2562
Mailing address
4017 RAWLINS ST, CHEYENNE, WY 82001-1800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
003684
MO
225X00000X
Occupational Therapist
Primary
OT-741
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
473780013
—
MO
Enumeration date
02/11/2007
Last updated
11/04/2022
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