Individual
KEN BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1656 E 12TH ST, CASPER, WY 82601-4004
(307) 265-1007
(307) 577-5716
Mailing address
1656 E 12TH ST, CASPER, WY 82601-4004
(307) 265-1007
(307) 577-5716
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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