Individual
KELSEY PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
151 W BRUNDAGE ST, SHERIDAN, WY 82801-4217
(307) 674-1668
(307) 674-1667
Mailing address
151 W BRUNDAGE ST, SHERIDAN, WY 82801-4217
(307) 674-1668
(307) 674-1667
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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