NPI 1013383934

Katrina Corliss, MT

Practitioner Medical Technologist Ft Washacki, WY

Practice location

Address: 29 Black Coal Rd Laboratory, Ft Washacki, WY 82514
Phone: (307) 335-5973
Fax: (307) 332-7514
Mailing address: 3223 E Stage Rd, Ionia, MI 48846-9718

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X Licence AAB 2050187 (MI)

Other Specialist/Technologist, Pathology providers in Wyoming →

Registry record

NPI: 1013383934
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2015
Record last updated: 14 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.