-- KIM E CLEMETSON -- RN
Individual Provider (NPI-1)
Active
Registered Nurse
Provider Information
- NPI Number
1700040854- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RN
- Status
- Active
Contact & Location
- Address
- 29 BLACK COAL DR, FORT WASHAKIE, WY, 82514
- Phone
- (307) 332-7300
- Fax
- (307) 332-7464
Specialties & Taxonomies
Registered Nurse
Primary License: WY #12788