Individual
ELIZABETH KETTERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 HARMONY ST, BUFFALO, WY 82834-2463
(307) 684-4540
Mailing address
129 HARMONY ST, BUFFALO, WY 82834-2463
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3381
WY
Other
Enumeration date
11/02/2010
Last updated
09/26/2016
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