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

Dr. Kevin Sanville, MD

Individual provider Family Medicine Physician · NPI 1134307911

Dr. Kevin Sanville, MD is a Family Practice in Jackson, Wyoming. Graduated from Georgetown University School of Medicine in 1994, 32 years ago. Practices with Teton County Hospital District, a 112-clinician group and accepts Medicare assignment. Licensed in Georgia and Wyoming.

Years since qualifying
32
Trained at
Georgetown University School of Medicine
Licensed in
GA, WY
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1415 S Hwy 89
Jackson, WY 83001-8515
Phone: (307) 739-8999
Fax: (307) 739-9222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11838A (WY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 056477 (GA)

Record details

NPI number1134307911
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 5, 2008
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Teton County Hospital District — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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