NPI 1295240067

Kyle William McDermott, PROVIDEROWNER

Practitioner Developmentally Disabled Services Day Training Agency Evanston, WY

Practice location

Address: 100 Valley View Ave, Evanston, WY 82930-2105
Phone: (307) 677-5119

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Wyoming →

Registry record

NPI: 1295240067
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Dec 2017
Record last updated: 2 Dec 2017

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.