Kodiak Anesthesia PC
Kodiak Anesthesia PC provides Ph.D. Medical Genetics in Casper, Wyoming. Licensed in Wyoming. Registered with an NPI since 2006.
- Licensed in
- WY
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
111 W 2nd St Ste 415Casper, WY 82601-2454
Phone: (307) 237-5848
Fax: (307) 237-5848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X |
|---|---|
| Ph.D. Medical Genetics | Taxonomy 170100000X · Licence 7192A (WY) |
Record details
| NPI number | 1710087689 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Chynoweth — Md · (307) 473-8173 |
| NPI enumerated | September 22, 2006 |
| Last updated in NPPES | October 19, 2021 |
| Certification date | October 19, 2021 |
| Mailing address | 4850 Chinook Trl, Casper, WY 82604-5201 |
Other providers in Casper
-
Matthew D Chynoweth, DO
4850 Chinook Trl, Casper, WY 82604-5201 · (307) 473-8173