Individual
MS. KATHLEEN ANN PETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15 SHRINE CLUB RD STE B, LANDER, WY 82520-8502
(307) 212-6270
(307) 212-6271
Mailing address
2620 COMMERCIAL WAY STE 20, ROCK SPRINGS, WY 82901-4705
(307) 212-6270
(307) 212-6071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15565.0169
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122992300
—
WY
01
—
314168
BCBS
—
Enumeration date
03/18/2007
Last updated
02/23/2026
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