Most Relevant Information
Provider Data
| NPI Number: | 1003662339 |
| Provider Name: | KALEB MONROE SHOEMAKER |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/26/2024 |
| Last Updated: | 04/26/2024 |
Provider Practice Location
2200 S MCKINLEY ST APT C
CASPER
WY
826015533
Practice Location Phone/Fax
| Phone: | 3072588384 |
| Fax: |
Provider Mailing Location
2200 S MCKINLEY ST APT C
CASPER
WY
826015533
Provider Mailing Phone/Fax
| Phone: | 3072588384 |
| Fax: |