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Contact Information

KIMBERLY A BEGALLA, CFNP
75 YELLOW CREEK RD
SUITE 202
EVANSTON, WY82930-5235
 Phone: 307-789-6111
 Fax: 307-789-7111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIMBERLY A BEGALLA · (Female)

NPI Number 1174563241
Status Active
Credentials CFNP
Entity Individual
Enumeration date 06/07/2006
Last updated 07/14/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WY License # 19196.0204
  • WY Medicaid 118122000
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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