Anderson, Kyle Leslie

Anderson, Kyle Leslie is an individual health care provider with primary practice located at 1035 Rose Ln , Riverton WY 82501-2286. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Anderson, Kyle Leslie can be contacted via phone (307) 463-6300.

Contact Information

Primary practice address
1035 Rose Ln Riverton WY 82501-2286
Phone: (307) 463-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 48431 Wyoming

Profile Details

NPI number 1316309610
LBN Legal business name Anderson, Kyle Leslie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2016
Last updated Mar 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316309610 NPPES
Wyoming MEDICAID 212235900

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