MEDICARE: KIMBERLY HOFER COX

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1649503202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY HOFER COX

Provider Business Mailing Address
First Line	:	PO BOX 325
Second Line	:
City	:	MOORCROFT
State	:	WY
Zip	:	82721-0325
Country	:	US
Telephone Number	:	307-299-4017
Fax Number	:

Provider Business Practice Location Address
First Line	:	278 BERTHA RD
Second Line	:
City	:	MOORCROFT
State	:	WY
Zip	:	82721-9300
Country	:	US
Telephone Number	:	307-299-4017
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2009
Last Update Date	:	11/14/2024

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Directions to “ KIMBERLY HOFER COX ” Practice Location

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