Provider Demographics
NPI:1083001291
Name:FRENCH, KAY ELLEN (LPN)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:ELLEN
Last Name:FRENCH
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:WORLAND
Mailing Address - State:WY
Mailing Address - Zip Code:82401-3923
Mailing Address - Country:US
Mailing Address - Phone:307-431-1052
Mailing Address - Fax:
Practice Address - Street 1:920 S 8TH ST
Practice Address - Street 2:
Practice Address - City:WORLAND
Practice Address - State:WY
Practice Address - Zip Code:82401-3923
Practice Address - Country:US
Practice Address - Phone:307-431-1052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-25
Last Update Date:2015-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY2566164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse