Individual
KIRK A BOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501
(307) 578-2492
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501
(307) 578-2492
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5803A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112376900
—
WY
01
—
207P00000X
TAXONOMY
WY
01
—
306943
BCBS
WY
Enumeration date
09/28/2006
Last updated
09/30/2020
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