Kim E Clemetson RN

NPI 1700040854 - Registered Nurse - 163W00000X

NPI Details
NPI 1700040854
Gender Female
Enumeration Date 07/17/2008
Last Updated 07/17/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
29 BLACK COAL DR
FORT WASHAKIE WY, 82514, US
Phone (307) 332-7300
Fax (307) 332-7464
Business Location
653 BURMA RD
RIVERTON WY, 82501-9763, US
Phone (307) 856-2112
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Wyoming
License Number 12788
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According to our database, Kim E Clemetson RN NPI is 1700040854, taxonomy code is 163W00000X and license number is 12788, license state is located at Wyoming. Kim E Clemetson RN physically located at 29 Black Coal Dr, Fort Washakie WY, 82514. NPI Number Kim E Clemetson RN has the Individual type.

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1700040854 NPI number is provided on an as is basis without warranty of any kind. 1700040854 is maintained by the National Plan & Provider Enumeration System. The contents of Kim E Clemetson RN are for informational purposes only.