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

MISS KELLY LYNNE PRETTY WEASEL, RN

Active Sole Proprietor

Public Health Clinic · FORT WASHAKIE, WY

Registration Details

NPI Number
1770898140
Provider Type
Individual
Gender
Female
NPI Issued
Aug 10, 2010 (15.699822038356 yrs)
Last Updated
Aug 10, 2010
Sole Proprietor
Yes

Practice Information

Address
29 BLACKCOLE DR
FORT WASHAKIE, WY, 82514
Browse WY providers · Browse ZIP 82514
Phone
3073327300
Primary Specialty
Public Health Clinic
261QP0904X
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.