Individual
DR. MATTHEW KASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5050 POWDERHOUSE RD, CHEYENNE, WY 82009-4800
(307) 634-1311
(307) 634-1271
Mailing address
5050 POWDERHOUSE RD, CHEYENNE, WY 82009-4800
(307) 634-1311
(307) 634-1271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42147
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215959069
—
WY
Enumeration date
07/24/2006
Last updated
01/31/2022
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