Organization
ALPHA FAMILY MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M GATES F.N.P.C (OWNER)
(307) 632-6403
Entity
Organization
Contact information
Practice address
1202 CLEVELAND AVE, CHEYENNE, WY 82001-6700
(307) 632-6403
(307) 632-6426
Mailing address
1202 CLEVELAND AVE, CHEYENNE, WY 82001-6700
(307) 632-6403
(307) 632-6426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5374A
WY
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/02/2006
Last updated
09/10/2007
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