Organization
TK FIRST ASSISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAWNA LEA KILJANDER RN, CNOR, RNFA (PRESIDENT)
(307) 660-7503
Entity
Organization
Contact information
Practice address
616 ARCADIA AVE, GILLETTE, WY 82716-2230
(307) 660-7503
(888) 329-6432
Mailing address
616 ARCADIA AVE, GILLETTE, WY 82716-2230
(307) 660-7503
(888) 329-6432
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
21791
WY
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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