Individual
KENNA JOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 426-4728
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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