Individual
KIM C. KIKUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
4000 DEWAR DR, ROCK SPRINGS, WY 82901-6218
(307) 382-3010
(307) 382-6881
Mailing address
4000 DEWAR DR, ROCK SPRINGS, WY 82901-6218
(307) 382-3010
(307) 382-6881
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAP-039
WY
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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