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

Kodiak Anesthesia PC

Organization Anesthesiology Physician · NPI 1295138972

Kodiak Anesthesia PC is an Anesthesiology Physician in Casper, Wyoming. Works from 2 locations. Licensed in Wyoming.

Licensed in
WY
In the registry since
2014
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

4850 Chinook Trl
Casper, WY 82604-5201
Phone: (307) 473-8173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 W 2nd St, Casper, WY 82601-2454 — (307) 237-5848

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 7192A (WY)

Record details

NPI number1295138972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Chynoweth — President · (307) 473-8173
Other names Matthew D.Chynoweth; Matthew D.Chynoweth
NPI enumeratedOctober 8, 2014
Last updated in NPPESDecember 4, 2019
Mailing address4850 Chinook Trl, Casper, WY 82604-5201

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