Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Goose Creek Family Practice, PC

Organization Clinic/Center · NPI 1134407356

Goose Creek Family Practice, PC is a Clinic/Center in Sheridan, Wyoming. Licensed in Wyoming. Registered with an NPI since 2011.

Licensed in
WY
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

304 Coffeen Ave Ste A
Sheridan, WY 82801-4803
Phone: (307) 674-1744
Fax: (307) 674-1752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 11988.1019 (WY)

Record details

NPI number1134407356
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Kawulok — President · (307) 674-1744
NPI enumeratedJuly 22, 2011
Last updated in NPPESNovember 9, 2012
Mailing address304 Coffeen Ave, Suite A, Sheridan, WY 82801-4803

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