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Contact Information

KYLIE R BOARDMAN
1575 N 4TH ST STE 103
LARAMIE, WY82072-2091
 Phone: 307-721-0700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for KYLIE R BOARDMAN · (Female)

NPI Number 1134658008
Status Active
Credentials
Entity Individual
Enumeration date 06/05/2017
Last updated 06/05/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • WY License # PPC-1010
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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