Individual
KADELYN LEIGH BURD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 W LOTT ST, BUFFALO, WY 82834-1642
(307) 684-5531
Mailing address
521 W LOTT ST, BUFFALO, WY 82834-1642
(307) 684-5531
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
099
WY
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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