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Individual

KELLI LYNN KNIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
123 W 1ST ST STE 705, CASPER, WY 82601-2488
(307) 222-3042
Mailing address
123 W 1ST ST STE 705, CASPER, WY 82601-2488
(307) 222-3042

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/14/2020
Last updated
08/26/2020
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