Dr. Kym Codallos's National Provider Identifier (NPI) Details
Dr. Kym Codallos, MSW,ACSW,LCSW,CPRP
NPI: 1184756272
Enumeration Date: 2007-03-12
Last updated: 2022-10-12
Sole Proprietor: YES
Status: active
Postal Address: PO BOX 1733, LARAMIE, WY
Phone: 209-247-3686
Primary Practice Address: 615 ROGER CANYON RD, LARAMIE, WY
Practice's phone: 209-247-3686