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Individual

DR. KRISTINE K VAN KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6015 SYCAMORE RD, CHEYENNE, WY 82009-4347
(307) 823-2968
Mailing address
6015 SYCAMORE RD, CHEYENNE, WY 82009-4347

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
9074A
WY
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
9074A
WY

Other

Enumeration date
06/30/2008
Last updated
01/03/2019
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