Christensen, Kelly E

Christensen, Kelly E is an individual health care provider with primary practice located at 450 Mountain View St , Powell WY 82435-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Christensen, Kelly E can be contacted via phone (307) 754-7257.

Contact Information

Primary practice address
450 Mountain View St Powell WY 82435-2212
Phone: (307) 754-7257
Fax: (307) 754-7217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5717A Wyoming

Profile Details

NPI number 1063401933
LBN Legal business name Christensen, Kelly E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 8th, 2007 - about 19 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 1063401933 NPPES
Wyoming Other 307033 BLUE CROSS BLUE SHIELD
Wyoming Other 0014716 BLUE CROSS BLUE SHIELD

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