Pamela McKen

Individual provider Active NPI Case Manager/Care Coordinator · Afton, WY

NPI 1215260732 · NPPES record last updated Sep 16, 2009

Key facts

NPI
1215260732
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
138 E 7TH
Afton, WY 83110
Phone
(307) 885-3580
NPI assigned
Sep 16, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

138 E 7TH
Afton, WY 83110

Mailing address

PO Box 1115
Afton, WY 83110-1115
Phone (307) 885-3580

Other providers in Afton, WY

All providers in Afton, WY · Case Manager/Care Coordinator in Wyoming

Sources for this page

Verify at the official NPI Registry.