Faddis, Kristy H

Faddis, Kristy H is an sole proprietor health care provider with primary practice located at 164 Country Way , Evanston WY 82930-9517. She recently has 4 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Illness, Child, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Physical Disabilities, Child. Respite Care Facility / Respite Care is her primary health care specialty. Faddis, Kristy H can be contacted via phone (307) 789-2875.

Contact Information

Primary practice address
164 Country Way Evanston WY 82930-9517
Phone: (307) 789-2875
Fax: (307) 789-2876
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care 385H00000X 251C00000X Wyoming
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X 251C00000X Wyoming
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X 251C00000X Wyoming
Respite Care Facility / Respite Care, Physical Disabilities, Child 385HR2065X 251C00000X Wyoming

Profile Details

NPI number 1225366925
LBN Legal business name Faddis, Kristy H
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2009
Last updated Nov 18th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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