Individual
AMANDA JOYCE KINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
29 BLACK COAL DRIVE, FORT WASHAKIE, WY 82514
(307) 332-7300
Mailing address
PO BOX 250, LANDER, WY 82520-0250
(307) 690-7682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61415435
WA
Other
Enumeration date
04/11/2020
Last updated
10/28/2024
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