Individual
KALEY BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
151 E 1ST ST, POWELL, WY 82435-2701
(307) 689-2309
Mailing address
910 CAMPFIRE LN, POWELL, WY 82435-9356
(307) 689-2309
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
54002
WY
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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