Individual
KRIS ALLEN CANFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
407 S MEDICAL ARTS CT STE B, GILLETTE, WY 82716-3372
(307) 682-7500
(307) 682-7585
Mailing address
PO BOX 967, GILLETTE, WY 82717-0967
(307) 682-7500
(307) 682-7585
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
04-32083
KS
208600000X
Surgery Physician
Primary
8398A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200410000A
—
KS
Enumeration date
07/14/2005
Last updated
02/13/2023
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