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Organization
AIM HEALTHCARE PROVIDERS WY, LLC
Active
Organization
AIM HEALTHCARE PROVIDERS WY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY A KARANIUK (CREDENTIALING DIRECTOR)
(480) 447-6841
Entity
Organization
Contact information
Practice address
1621 CENTRAL AVE, CHEYENNE, WY 82001-4531
(480) 494-2465
Mailing address
161 E RIVULON BLVD STE 210, GILBERT, AZ 85297-0087
(480) 494-2465
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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