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Organization
LARAMIE PEDIATRICS INTERNAL MEDICINE
Active
Organization
LARAMIE PEDIATRICS INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT MYRON KLEPPINGER MD (MD)
(307) 745-3704
Entity
Organization
Contact information
Practice address
1252 NORTH 22ND ST, STE B, LARAMIE, WY 82072
(307) 745-3704
(307) 745-7237
Mailing address
1252 NORTH 22ND ST, STE B, LARAMIE, WY 82072
(307) 745-3704
(307) 745-7237
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124413200
—
WY
Enumeration date
11/28/2006
Last updated
04/22/2008
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