Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE WILLIAM MCDERMOTT, PROVIDER, OWNER
Active Sole ProprietorBehavioral Health, Residential · EVANSTON, WY
Registration Details
- NPI Number
- 1295240067
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2017 (8.3965032052819 yrs)
- Last Updated
- Dec 2, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 VALLEY VIEW AVEEVANSTON, WY, 829302105Browse WY providers · Browse ZIP 82930
- Phone
- 3076775119
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Other Behavioral Health, Residential Providers in EVANSTON, WY
| Name | Credential | NPI |
|---|---|---|
| KENNA J HILL | BA | 1033415450 |
| MS. BEVERLY NELLE TAGGART | — | 1225311400 |
| MS. BROOKE NOELL ELARDI | — | 1326301896 |
| JAY HILL | MSA | 1861884645 |
| KATHERINE DENT | — | 1154790459 |
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.