Individual
KIRSTEN KIM MAYCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
207 S OSBORNE AVE, GILLETTE, WY 82716-3937
(307) 682-4000
(307) 686-0768
Mailing address
207 S OSBORNE AVE, GILLETTE, WY 82716-3937
(307) 682-4000
(307) 686-0768
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
586
WY
Other
Enumeration date
10/18/2006
Last updated
09/29/2015
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