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KRISTY H FADDIS
Respite Care

NPI Profile for KRISTY H FADDIS in EVANSTON, WY.

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Contact Information

KRISTY H FADDIS
164 COUNTRY WAY
EVANSTON, WY  82930-9517
 Phone: 307-789-2875
 Fax: 307-789-2876
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Respite Care

 385H00000X
 

Respite Care, Intellectual and/or Developmental Disabilities

 385HR2060X
 

Respite Care, Mental Illness, Child

 385HR2055X
 

Respite Care, Physical Disabilities, Child

 385HR2065X
Indicates primary specialty

NPI Profile & details for KRISTY H FADDIS · (Female)

NPI Number 1225366925
Status Active
Credentials
Entity Individual
Enumeration date 11/18/2009
Last updated 11/18/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • WY License # 251C00000X
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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