Individual
MRS. KRISTI L. BONNEL-PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
156 NORTH 6TH STREET, BASIN, WY 82410
(307) 568-2499
(307) 568-2699
Mailing address
156 NORTH 6TH STREET, P.O. BOX 388, BASIN, WY 82410
(307) 568-2499
(307) 568-2699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
164
WY
Other
Enumeration date
04/03/2007
Last updated
03/27/2012
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