Individual
KEVIN L STUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
110 HOSPITAL LN, AFTON, WY 83110-9409
(307) 885-5870
(307) 885-4898
Mailing address
PO BOX 280, AFTON, WY 83110-0280
(078) 855-8703
(078) 854-8983
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6548822-1204
UT
Other
Enumeration date
03/04/2007
Last updated
02/28/2019
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