Kelley, Evan Earle

Kelley, Evan Earle is an individual health care provider with primary practice located at 6900 Alden Dr , Cheyenne WY 82005-3906. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kelley, Evan Earle can be contacted via phone (307) 773-3406.

Contact Information

Primary practice address
6900 Alden Dr Cheyenne WY 82005-3906
Phone: (307) 773-3406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11277 Massachusetts

Profile Details

NPI number 1679567499
LBN Legal business name Kelley, Evan Earle
Credentials MSPT, OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Dec 5th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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