Individual
KAITLYN ICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 COLLEGE DR, ROCK SPRINGS, WY 82901-5868
(307) 362-3711
Mailing address
1200 COLLEGE DR, ROCK SPRINGS, WY 82901-5868
(307) 362-3711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
29422
WY
Other
Enumeration date
11/06/2024
Last updated
12/16/2024
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