Individual
KANDI NEWHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E SUNSET DR, GILLETTE, WY 82716-2848
(307) 689-3023
Mailing address
1000 ROHAN AVE, GILLETTE, WY 82716-4144
(307) 689-7308
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
44025
WY
164W00000X
Licensed Practical Nurse
8321
WY
Other
Enumeration date
01/11/2017
Last updated
02/08/2021
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