MISS Kelly Lynne Pretty Weasel, RN
NPI #1770898140 in Fort Washakie, Wyoming
Provider Information
- NPI Number
- 1770898140
- Entity Type
- Individual
- Name
- MISS Kelly Lynne Pretty Weasel, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Public Health, Federal
- Credential
- RN
- Enumeration Date
- Aug 10, 2010
- Last Updated
- Aug 10, 2010
Practice Location
- Address
- 29 BLACKCOLE DR
- City
- Fort Washakie
- State
- Wyoming
- ZIP Code
- 82514
- Phone
- (307) 332-7300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Public Health, Federal — Public Health, Federal |
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