Kyle William McDermott, PROVIDER, OWNER
Kyle William McDermott, PROVIDER, OWNER is a Developmentally Disabled Services Day Training Agency in Evanston, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.
- Licensed in
- WY
- In the registry since
- 2017
Practice location Address checks out
100 Valley View AveEvanston, WY 82930-2105
Phone: (307) 677-5119
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Specialties & licences
| Developmentally Disabled Services Day Training Agency (primary) | Taxonomy 251C00000X (WY) |
|---|
Record details
| NPI number | 1295240067 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PROVIDER , OWNER |
| Sole proprietor | Yes |
| NPI enumerated | December 2, 2017 |
| Last updated in NPPES | December 2, 2017 |
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