Canfield, Kris Allen
Canfield, Kris Allen is an sole proprietor health care provider with primary practice located at 407 S Medical Arts Ct Ste B , Gillette WY 82716-3372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Canfield, Kris Allen can be contacted via phone (307) 682-7500.Contact Information
Primary practice address
407 S Medical Arts Ct Ste B
Gillette WY 82716-3372
Phone: (307) 682-7500
Fax: (307) 682-7585
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 04-32083 | Kansas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 8398A | Wyoming |
Profile Details
| NPI number | 1366441131 |
|---|---|
| LBN Legal business name | Canfield, Kris Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Feb 13th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366441131 | NPPES |
| Kansas | MEDICAID | 200410000A |
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