Individual
KATIE JEAN HOUMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1000
Mailing address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R74612
AZ
207Q00000X
Family Medicine Physician
Primary
TL3940
WY
Other
Enumeration date
06/17/2014
Last updated
07/21/2022
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