Organization
CHEYENNE KIDNEY AND DIALYSIS CLINIC PC
Active
Organization
CHEYENNE KIDNEY AND DIALYSIS CLINIC PC
Active
Other names
Associates In Internal Medicine PC
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN A HALPERN MD (CEO)
(307) 635-9131
Entity
Organization
Contact information
Practice address
2301 HOUSE AVE, SUITE 201, CHEYENNE, WY 82001-3177
(307) 635-9131
(307) 637-8300
Mailing address
2301 HOUSE AVE, SUITE 201, CHEYENNE, WY 82001-3177
(307) 635-9131
(307) 637-8300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05826001
BLUE CROSS BLUE SHIELD
WY
01
—
CQ3266
RAILROAD MEDICARE
—
Enumeration date
09/02/2006
Last updated
09/11/2025
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