NPI 1083941926

Sandra Kay Kennedy Saam

Practitioner Contractor Jackson, WY

Practice location

Address: 5755 South Hwy 89 #15, Jackson, WY 83001
Phone: (307) 200-1926
Mailing address: PO Box 1973, Wilson, WY 83014-1973

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 1288343000 (WY)

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Registry record

NPI: 1083941926
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2009
Record last updated: 13 Nov 2009

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.