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

Healthy Lifestyle Medicine

Organization Adult Medicine Physician · NPI 1912478819

Healthy Lifestyle Medicine is an Adult Medicine Physician in Cheyenne, Wyoming. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

6015 Sycamore Rd
Cheyenne, WY 82009-4347
Phone: (307) 823-2968
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X
Obesity Medicine (Preventive Medicine) Physician Taxonomy 2083B0002X

Record details

NPI number1912478819
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristine Van Kirk — Owner/Provider · (307) 823-2968
NPI enumeratedDecember 17, 2018
Last updated in NPPESDecember 20, 2018
Mailing address6015 Sycamore Rd, Cheyenne, WY 82009-4347

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