NPI 1821329459

Karen Fay Gibson, MLSMTCLS

Practitioner Clinical Medical Laboratory Fort Washakie, WY

Practice location

Address: 29 Blackcoal Dr. Laboratory, Fort Washakie, WY 82514
Phone: (307) 332-7672
Mailing address: 11574 Highway 26, Riverton, WY 82501-9249

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 183543

Other Clinical Medical Laboratory providers in Wyoming →

Registry record

NPI: 1821329459
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jan 2010
Record last updated: 21 Jan 2010

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.