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Contact Information

CURTIS K SOUTHERN JR
7 CANYON LAKE DR
CODY, WY82414-7890
 Phone: 706-330-4538
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for CURTIS K SOUTHERN JR · (Male)

NPI # 1275246761
Status Active
Credentials
Entity Individual
Enumeration date 12/30/2022
Last updated 12/30/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WY License # 267854106619
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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