Individual
KINISHA PULLEN-SHELSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 N 15TH ST E, RIVERTON, WY 82501-3816
(307) 851-6953
Mailing address
506 N 15TH ST E, RIVERTON, WY 82501-3816
(307) 851-6953
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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