Individual
KATHY M LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1221 W 5TH ST, SHERIDAN, WY 82801-2701
(307) 674-4405
Mailing address
909 LONG DR STE C, SHERIDAN, WY 82801-3282
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN-45902
WY
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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