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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