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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATRINA CORLISS, MT

Active

Medical Technologist · FT WASHACKI, WY

Registration Details

NPI Number
1013383934
Provider Type
Individual
Gender
Female
NPI Issued
Aug 14, 2015 (10.689534040455 yrs)
Last Updated
Aug 14, 2015
License
AAB 2050187 (MI)

Practice Information

Address
29 BLACK COAL RD
LABORATORY
FT WASHACKI, WY, 82514
Browse WY providers · Browse ZIP 82514
Phone
3073355973
Fax
3073327514
Primary Specialty
Medical Technologist
246QM0706X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.