Individual
MR. KEVIN J MEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LA.C, NCCAOM, NCCA
Contact information
Practice address
180 CENTER ST UNIT 7, JACKSON, WY 83001-8700
(307) 734-8044
Mailing address
PO BOX 4616, JACKSON, WY 83001-4616
(307) 734-8044
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
20
WY
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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