Individual
KAREN MARIE SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPC
Contact information
Practice address
125 S DIVISION ST, POWELL, WY 82435-2409
(307) 254-2321
(307) 333-0470
Mailing address
1427 RUMSEY AVE, CODY, WY 82414-3714
(304) 283-5914
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-1163
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
WY
05
—
171M00000X
—
WY
Enumeration date
12/10/2019
Last updated
12/10/2019
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