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

Independent Family Practice

Organization Family Medicine Physician · NPI 1477509651

Independent Family Practice is a Family Medicine Physician in Thayne, Wyoming. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

122 Peterson Pkwy
Thayne, WY 83127
Phone: (307) 883-4437
Fax: (307) 883-4436
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1477509651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Kirk — Owner · (307) 883-4437
NPI enumeratedMay 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing address122 Peterson Pkwy, Thayne, WY 83127

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