Individual
MRS. KELLI C. NIEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4000 LARAMIE STREET, CHEYENNE, WY 82001
(307) 426-4014
(307) 426-4016
Mailing address
4000 LARAMIE STREET, CHEYENNE, WY 82001
(307) 426-4014
(307) 426-4016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
00204020
CO
1223G0001X
General Practice Dentistry
Primary
1551
WY
Other
Enumeration date
06/07/2019
Last updated
06/13/2024
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