Individual
MARY ANN KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1263 N 15TH ST, LARAMIE, WY 82072-2343
(307) 745-8915
Mailing address
1263 N 15TH ST, LARAMIE, WY 82072-2343
(307) 745-8915
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9742
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106079100
—
WY
Enumeration date
09/16/2009
Last updated
09/16/2009
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