KELCIE DICKERSON

LYMAN, WY
NPI1992105696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WY  PT607)
Enumeration Date2014-08-29
Last Update Date2014-08-29
Business Address
-- KELCIE DICKERSON PA
3580 STATE HIGHWAY 414
LYMAN, WY 82937-0001
Phone number: 307-786-2042
Mailing Address
-- KELCIE DICKERSON PA
740 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5285
Phone number: 208-542-9111