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Individual

DR. GEORGE CHRISTOPHER KRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
711 ONYX ST, KEMMERER, WY 83101-3214
(307) 877-4496
(307) 877-9769
Mailing address
711 ONYX ST, KEMMERER, WY 83101-3214
(307) 877-4496
(307) 877-9769

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5749A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111041100
WY
01
304003
BLUE CROSS/BLUE SHIELD
WY
Enumeration date
09/26/2006
Last updated
01/05/2012
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