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NPI Code Detail

MEDICARE: KAYLA RAYE GRIFFIN

MEDICARE:   KAYLA RAYE GRIFFIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor1641WY
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1306715404
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA RAYE GRIFFIN
Provider Business Mailing Address
First Line : 2010 SIOUX TRL
Second Line :
City : BAR NUNN
State : WY
Zip : 82601-7610
Country : US
Telephone Number : 307-851-9137
Fax Number :
Provider Business Practice Location Address
First Line : 1430 WILKINS CIR
Second Line :
City : CASPER
State : WY
Zip : 82601-1336
Country : US
Telephone Number : 307-237-9583
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2025
Last Update Date : 03/12/2026

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Directions to “ KAYLA RAYE GRIFFIN ” Practice Location

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